Milton Facility Application

Nondiscrimination Policy - Milton Facility does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin in the administration of its policies and rules or in the awarding of studio space to applicants.

* Required

Studio Type *

Deposit * This is refundable upon move out

Monthly Rent *

Contract * Month-to-month leasing will be available after July 2009

Move-in Date * Currently only taking application for immediate move in or you can pay to reserve an available space

Full Name *

Birthdate * MM/DD/YYYY format, please.

Gender

E-Mail *

Phone Number *

Drivers License * Indicate the license number and the state

Smoke? *

Full Name (Co-Applicant)

Birthdate (Co-Applicant) MM/DD/YYYY format, please.

Gender (Co-Applicant)

E-mail (Co-Applicant)

Phone Number (Co-Applicant)

Drivers License (Co-Applicant) Indicate the license number and the state

Smoke? (Co-Applicant)

Home Address *

City *

State *

Zip *

Employment *

In School
Employed
Self-Employed
Un-Employed

Specify School or Company *

Length of Employment/School * In case of school indicate level

Personal Reference 1 * Name, Relationship, and Phone Number

Personal Reference 2 Name, Relationship, and Phone Number

Personal Reference 3 Name, Relationship, and Phone Number

Have you ever been convicted of a crime? * If you have please describe and specify dates, otherwise write "no"

Have you ever been evicted, declared bankruptcy or had a judgement? * If you have please describe and specify dates, otherwise write "no"

I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction. *

I understand that the information provided might be used to determine whether to accept this application. I authorize verification of all the information given in this application. I authorize a current credit and criminal background check. *

I understand that this application is not a rental agreement and that this application does not create any obligation on the Landlord *