Student Online Application

ITEMS MARKED WITH * ARE REQUIRED. Please make sure you fill these out. If you submit the application without the required items, the application will reset and you’ll have to start over. Thank you!

Student Application Form

Address You Are Applying For

* Your First and Last Name

* Your Phone Number

* Your Email

* Date of Birth

* Social Security Number

* Drivers License Number

* State Issued In

Make of vehicle

License plate number

* Have you ever been arrested?

No

Yes

If yes, when and where?

If yes, please explain circumstances.

* Have you ever been evicted?

No

Yes

If yes, when and where?

* Current Address

* City, State, and Zipcode

* Current Rent Amount

* Current Landlord

* Landlords Phone Number

* Name of Employer

* Employer Phone Number

* Pay Rate

* Your Job Title

* Average Hours

* Length of Employment

How Are You Paid Please Select: weekly bi-weekly monthly

Emergency Contact Name

Emergency Contact Address

Emergency Contact Phone

* Other Residents (Name, Social Security Number, Date of Birth)

* Cosigner's First and Last Name

* Co-signer's Phone Number

* Co-signer's Address

* Co-signer's City, State, and Zipcode

* How Long at Current Address?

* Do You Own or Rent?

* Co-signer's Date of Birth

* Co-signer's Drivers License No.

* Co-signer's Social Security No.

* Co-signer's Employer

* Employer's Phone Number

* Co-signer's Length at Current Job

* Cosign: I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, AND I AUTHORIZE SHAWNEE PROPERTIES AND ITS THIRD PARTY AGENCY TO ACCESS MY (OUR) CREDIT FILE(S)

* I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, AND I AUTHORIZE SHAWNEE PROPERTIES AND ITS THIRD PARTY AGENCY TO ACCESS MY (OUR) CREDIT FILE(S)

* Verification

BY TYPING MY NAME. I AM VERIFYING THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND THAT I GIVE SHAWNEE PROPERTIES THE RIGHT TO VERIFY THE ABOVE INFORMATION AS NEEDED. SHAWNEE PROPERTIES DOES NOT GIVE, SELL. OR IN ANY WAY SHARE ANY INFORMATION GATHERED HERE.