Rental Form

Contact Information
Name:
Address:
City:		Province:
Phone:		Email:
Age:
Co-Applicants Information
Name:
Address:
City:		Province:
Phone:		Email:
Age:

Apartment Needs
What size apartment do you need?		# Bedrooms 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom
Who will occupy the apartment?
Full Name:		Age:
Full Name:		Age:
Full Name:		Age:
Full Name:		Age:

Current Living Information
Current Landlord/Contact:
Landlord/Contact Phone:
How long have you lived there?
Reason for leaving:
Have you ever been evicted?	Yes No
If yes, why?

Previous Landlord
Full Name:
Phone:
How long did you live there?

Employment Information
Occupation:
Current Employer:
Contact:
Phone:
Salary:
How long have you worked there?

Previous Employer
Contact:
Phone:
Salary:
How long did you worked there?

Vehicle Information
Vehicle Type:
Color:
License Number:
Province

Personal References
Full Name:
Relationship:
Phone:
Address:
Full Name:
Relationship:
Phone:
Address:

List Children’s Names or Other Adults who will be sharing the Housing
Full Name:		Age:
Full Name:		Age:
Full Name:		Age:

By submitting

This application, I certify that answers given on this form are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision. I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.