Ann Arbor Campus Rental .com
  Rooms for rent - Great Location right on central Campus, one block from Law and business schools with parking

Home  Application

 Application for residency
 please fill out this form  entirely and click submit:

Personal Information :

   
Your Name
 Your Email
Home Phone Social Security #
UM ID #    
Driver License # State

Date of Birth

 
Present Address
City State

Zip
Landlord

Phone
Residence from

To

         
Previous Address
City State

Zip
Landlord Phone
Residence from

To

         

Have you ever:

Been evicted ?

 Yes    No

Broken a lease ?

 Yes    No
         

Employment:

      
Employer Work phone
Address
Position Supervisor
Employed from

To

Previous Employer Phone
         

Emergency Contact:
Name Relationship
Address Phone
City State

Zip
Name Relationship
Address
City State

Zip
       

Vehicle info:
Make and Year State

License No.
 
Additional Notes or comments
By clicking the submit button the undersigned applicant certifies that the above information is
 true and correct and herby authorizes verification of same.