Pre-Application

First Name*:
Last Name*:
Email:
Phone*:
Address*:
City*:
State/Province*:
ZIP/Postal Code*:
Please select a property :
Date of Birth ( Head of Household) * :
Last 4 digits of SS Number * :
Are you a Full Time Student? *	Yes No
Total Household Gross Income * :
List names, birthdate, and gender of others in household * :
Last 4 digits of SS for above household members * :
List the names of all full time students here ( excluding you) * :
Please provide employer name and length of employment: * :
Please provide other income sources if applicable (SSI, Child support, pension, etc) :
Are you currently in a lease? *	Yes No
If yes, when does your lease expire?
Landlord or Community Name & Phone Number :
How many bedrooms are you applying for?
Do you have a housing choice voucher or certificate? Y/N * :
Special Needs Unit? ( if available) Y/N :

Pre-Application - Fairville Management Company