College Application

Student Information

Todays Date

Home Interested in

Main contact person's name in your group (if applicable)

Name

SSN

Date of Birth

Current Address

Phone Number (please double check your number and have your voicemail set up)

Email (please double check your email is correct and make sure you check this email)

Current Employment and Income

Source of income? (w2, 1099, cash, SSI, student loans, etc)

Employer Name

Length of Employment

Hourly Wage

Average hours

Any additional Income? (SSI, VA benefits, Student loan, etc)

Current Residency

Have you paid your rent on time in the last 12 months? Yes No

Are you currently being evicted? Yes No

Current Landlord name

Current Landlord phone number

Parent or Guardian information
A parent, legal guardian, or other adult who fills that role that will be a guarantor on your lease.

Name

SSN

Date of Birth

Current address

Phone Number

Email

Parent/Guardian Current Employment and Income Information

Source of income? (w2, 1099, SSI, etc)

Employer name

Length of Employment

Hourly Wage

Average hours

Any additional Income? (SSI, VA benefits, Student loan, etc)

Parent/Guardian Current Residency

Do you own or rent your primary residence? Own Rent

Have you paid your rent/mortgage on time in the past 12 months? Yes No

Are you currently being evicted or foreclosed? Yes No

Current Landlord name

Current Landlord phone number

Other information

How did you hear about us?

Name of referal or other

* By submitting this application, I declare that all the information in this application is correct and true, and I agree that housing provider may reject this application if any of this information is found out to be false.

I hereby authorize the housing provider and/or his/her agent(s) to investigate information regarding my employment, character, general reputation, personal reference, mode of living and credit standing, and I authorize a full disclosure of pertinent facts may be made to the housing provider. The housing provider may also require a credit report from a credit reporting agency, and/or his/her agent(s). I also authorize the housing provider to release any information I have provided and any information regarding my rental history to credit reporting agencies, other housing providers, or any providers of rental compensation. I authorize the housing provider to submit my information to third parties in person or online in an attempt to provide me with possible loan options. I understand these third parties may or may not pull my credit report. A VALID DRIVER'S LICENSE OR PICTURE IDENTIFICATION CARD WILL BE NEEDED AT SIGNING.

By clicking the "submit" button, I agree to authorize Creative Home Buying Solutions, Inc to pull credit and that all the information given above is accurate.