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Social Security Number: *

Father Email: *

Mother Name: *

Are your parents willing to sign a Parental Guarantee? *

Parents Home Address: exp: street, city, zipcode *

Father Cell Phone exp: ###-###-#### *

Are you a member of a Fraternity or Sorority or do you plan to be? *

Your Name: example: Sarah Tilman *

If yes, which Fraternity or Sorority? *

GPA: *

Property Location You Are Applying To Rent: *

Date *

Father Name: *

Mother Email: *

Your Current College Address: *

Year in School: *

Mother Cell Phone exp: ###-###-#### *

Do you give us permission to contact your previous landlord for a Rental Reference? *

Past landlord's phone *

Your Email: *

Age: *

Past landlord or dormitory name: *

Members of Group: *

Your Cell Phone exp: ###-###-####: *

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