Application for Apartment Leasing

05/20/2013
SSN:
DOB:
First Name:
Last Name:
Email:
Please verify your Email
by re-entering it here:
Current Contact Information
Address:
City:
Apt.#:
State:
Zip Code:
(5 or 9 digits)
Country:
Phone:
(999-999-9999)
Permanent Contact Information
Address:
Apt.#:
City:
Zip Code:
(5 or 9 digits)
State:
Country:
Phone:
(999-999-9999)
Emergency Contact Information
Name:
Relationship to You:
Phone:
(999-999-9999)
About You
Class Standing at the time of your move-in:
What is your area of study?

Terms & Conditions

The information requested on this web site will be reviewed by University Towers staff for the purpose of determining if you are eligible for renting an apartment from us. A staff member will contact you if additional information is needed.

Please note that we are not able to accept every applicant. By using this web site you agree that you are only inquiring about the possibility of renting an apartment with us. University Towers accepts no responsibility for requests that are submitted through this web site with information that is incomplete or false. University Towers accepts no responsibility for information that does not reach us due to computer malfunction disruption in Internet service or other telecommunications computer system or Internet error.