What is your first name?
*
What is your last name?
*
What is your phone number?
*
What is your email address?
*
Do you have any pets?
*
No pets
One or more cats
One or more dogs
Both cat(s) and dog(s)
How many pets do you have?
*
What is your verifiable monthly income? (For those with Section 8, please include that amount in your total)
*
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
$10,000
$12,000
$14,000
$16,000
$18,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
Do you or your roommates smoke? (Please note that all of our units/buildings are non-smoking, so smoking will take place outside of the unit.)
*
No
Yes
Have you ever had an eviction?
*
Yes
No
Have you filed for bankruptcy recently?
*
Yes
No
Do you have any criminal history of bail jumping?
*
No
Yes
Do you have any criminal history of battery, assault and/or sexual assault?
*
No
Yes
Do you have any criminal history of an OWI or DWI?
*
No
Yes
Do you have any criminal history of drug possession felonies?
*
No
Yes
Do you have any criminal history of drug possession misdemeanors?
*
No
Yes
Do you have any criminal history that we should be aware of before we run the background check?
*
We require a photo of your driver license to verify your identity. After you schedule your showing, we'll send
you a text message from 920.375.5656. Please
reply to that message with a photo of the required document.*
I understand and agree
