What is your first name?
*
What is your last name?
*
What is your phone number?
*
What is your email address?
*
What's your earliest possible move-in date?
*
December 1st
December 6th
December 11th
December 16th
December 21st
December 26th
January 1st
January 6th
January 11th
January 16th
January 21st
January 26th
February 1st
February 6th
February 11th
February 16th
February 21st
February 26th
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?
*
$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
