Fillable Printable Rental Application Form - University of California, Santa Cruz
Fillable Printable Rental Application Form - University of California, Santa Cruz
Rental Application Form - University of California, Santa Cruz
Reviewed 2/15
RENTAL APPLICATION
Applicant’s Last Name: ______________________________ First Name: __________________________________ M.I.:
_______
Social Security # or ITIN: _________________________ Date of Birth: ________________ Contact Phone:
___________________
Photo ID Type: ______________________ Number: ____________________ Issuing government: ___________________________
Date expires: ____________ Other ID:_______________________ E-mail Address: _______________________________________
1. Present Address: _______________________________ City: _________________________ State: ______ Zip Code: ________
Owner/Manager: _____________________________ Phone (Required): _______________________ Rent Amount: ________
From/To: ____________________________________ Reason for Leaving: _________________________________________
2. Previous Address: ______________________________ City: _________________________ State: ______ Zip Code: ________
Owner/Manager: _____________________________ Phone (Required): _______________________Rent Amount: ________
From/To: ____________________________________ Reason for Leaving: _________________________________________
3. If applicable, Current or Previous Campus Address: _______________________________________________________________
From/To: ___________________________ Rent Amount: _____________________ Campus Housing Office: (831) 459-2394
Housing/Residential-Life Office Phone: ___________________________ Student ID #: ________________________________
Have you turned in a UCSC Reference Release form to Campus Housing?
Yes No I will do it within 3 days
4. Proposed Occupants/Ages: (1) _______________________ (2) _______________________ (3) _________________________
(4) _______________________ (5) _______________________ (6) _________________________
5. Pets: _______________________________________________________________________ Smoker: Yes No
6. Present Occupation: _______________________________ Employer: ___________________ From/To: ____________________
Name of Supervisor: _____________________________ Phone: ______________________ City: _______________________
7. Previous Occupation: ______________________________ Employer: ___________________ From/To: ____________________
Name of Supervisor: _____________________________ Phone: ______________________ City: _______________________
8. Current Gross Income: $ ____________________________ Per: ________________________ Savings: ___________________
9. Financial Aid Award: $____________________________________ Per: ______________________________________________
10. Personal Reference: _____________________________________ Phone: ___________________________________________
11. Emergency Contact: _____________________________________ Phone:
___________________________________________
Relation:
_____________________________________
E-mail:
____________________________________
12. Vehicles: Make/Year/License #: (1) ___________________________________________________________________________
(2) ___________________________________________________________________________
13. Address of Proposed Rental: ________________________________________________________________________________
14. Proposed Move-in Date: ___________________________
I
Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including,
but not limited to, the obtaining of a credit report.
Dated: ____________________________________________ Applicant signature: _______________________________________ _
NEVER send your Social Security
number through e-mail
APPLICATION INSTRUCTIONS
PRINT CLEARLY or USE FILLABLE FORM
FILL OUT COMPLETELY
ITIN = Individual Tax Identification Number
LINES 1 & 2:
If this is your parent’s or relative’s unit, indicate it as such.
LINE 3:
Students who lived on campus can use the Campus Housing Office as a financial reference to
show they paid rent on time previously and their College Housing/Residential-Life Office as a
reference to confirm responsible personal behavior. These are very important references
especially for the first-time renter. Fill this line out to provide landlords with information
necessary to check your references. Students also must fill out and turn in the “UCSC Reference
Release Form” to Campus Housing for these two references and “How to Check a Rental
Reference for a UCSC Student” to give to the potential landlord.
LINE 4:
Print all names and ages of applicants for this unit. Each applicant fills out a separate application.
LINE 5:
List the type and the number of pets you own. If the pet is a dog or cat, provide a pet resume.
LINES 6 & 7:
Include your immediate supervisor’s name and direct phone number. If your supervisor is a
UCSC employee, give him or her a copy of your completed UCSC Reference Release Form so
they may provide a reference to the landlord for you.
LINE 8:
Include the following if applicable, with Social Security # and account # blacked out:
∙ Most recent pay slip.
∙ Copy of latest bank account statement
∙ If receiving funds from a trust, a letter from attorney or trustee stating the amount you
receive monthly and for how long.
∙ If receiving financial assistance from parents or other relatives, document the deposits.
LINE 9:
Include your Financial Aid letter.
