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  1. Submitting an online application does not reserve a unit
  2. Please complete all required application fields, denoted by a red asterisk (*)
  3. Submit the application using the button at the bottom of the page
Please select number of bedrooms:*
 1-Bed  2-Bed  3-Bed  4-Bed

Applicant Name:*

Gender:*
 Male  Female

Classification when lease begins:*
 Freshman  Sophomore  Junior  Senior  Grad Student  Non-Student

Home Address:*

City:*

State:*

Zip:*

Cell Phone #:*

Alternate Phone #:

Date of Birth:*

Social Security #:*

Drivers License #:*

Exp. Date:*

DL State:*

Email Address:*

Applicant Signature:*

Date Signed:*

 By checking this box, I agree that all of my answers are true to the best of my knowledge and ability. *

 

Emergency Contact Information

Name:

Phone Number:

Address:

Relationship:

 

List Previous Landlord or Home

Apartment Name:

Address:

City:

State:

Zip:

 

Lease/Rental Agreement Guarantor

Guarantor Name:*

Address:*

City:*

State:*

Zip:*

Preferred Phone #:*

Work Phone #:

Social Security #:

Drivers License #:

Present Employer:*

City:*

State:*

Zip:*

Email Address:*

Upgrade(s) Desired:
 Signature Series

 I Do Have a Roommate  I Would Like to Use Hub’s Roommate Matching Service.
Name(s) of Roommate(s) (if known):
Roommate 1:

Roommate 2:

Roommate 3:

Roommate 4:

Has Someone From Group Already Applied?*
 Yes  No

 

Payment

Payment Type*
  MasterCard ($2.50 + 2.95%)   Visa ($24.63)   Discover ($2.50 + 2.95%)   E-Check ($1.70)

Total Charge Including Convenience Fee

Credit card:
Credit Card Number*

Expiration Date*

CVV#* (Last 3 digits located on back of card)

Name On Card*

Billing Zip Code*

E-Check
Bank Name*
Bank Account Number*
Routing Number*
Account Holder Name*
 I Authorize Hub U District To Charge My Card For $50.00 Application Fee and Convenience Fee*

 

NOW LEASING for AUTUMN 2017

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