Leasing Application

Leasing Application


Fields marked with a * are required

Present Address


Permanent Address


Emergency Contact Info


Other Information


Guarantor Information

No agreement, either written or oral, shall be binding on applicant, agent or owner, unless and to the extent set forth in the lease, I/We agree that you may conduct a credit, background and reference check with us. Acceptance of this application does not assure a room reservation. Space is reserved upon signing of a separate lease agreement by all parties concerned before the property reaches full capacity. I/We here authorize Campus Housing at South Bend to use any consumer reporting agency, credit bureau or other investigative agencies employed by such, to investigate the references herein listed or statements of other data obtained from me/us or any other person pertaining to my/our employment history, prior credit tendencies, character, general reputation, personal characteristics, and mode of living, to obtain a consumer report and such other credit information which may result thereby, and to disclose and furnish such information to the owner;s agent listed above in support of this application. I/We have been advised that I /We have the right, under Section 606B of the Fair Credit Reporting Act, to make a written request, within reasonable time, for a complete and accurate disclosure of the nature and scope of this investigation. I/We warrant that all the above information is true and correct, and agree to the terms and conditions which I/we have read and understood.