FISH Student Housing Application

Full Legal Name*

First and Last Name

How Did You Hear About FISH Student Housing

Date of Birth*

Email Address*

Applicant's primary email address

Phone Number*

Phone

Current Physical Address*

Street, City, State, Zip

Date You Began Living at Current Residence*

Preferred Contact Method*

Best way to contact of you

Email

Phone

Employer / Company Name

Employment Start Date

Average Total Monthly Income*

Other Income Sources (if applicable)

Are You Currently Enrolled in School?*

Yes

No

Name of School or Trade Program*

Field of Study*

Anticipated Move In Date

Prefer 1 or 2 Bedroom?*

1 Bedroom

2 Bedroom

Prefer Furnished or Unfurnished Units?*

Furnished

Unfurnished

Other Adult Occupants 18+ (Full Name and Relation)

Example: Joe Doe, Spouse

Minor Occupants (Full Name, Relation, Age)

Example: Jim Doe, Son, 4

Do you have any pets?

Pets are welcome at no extra charge.

Yes

No

Registered Student Agreement*

I, the applicant, understand that I MUST be a registered student of an educational program to be accepted and to maintain my residential status in the Friends in Service Helping Student Housing Program.

I Affirm

Credit and Background Check Agreement*

I understand that I must consent to a credit and background check as a condition of acceptance into the FISH Housing Program

I Affirm