Please fill out this application as completely as possible.
All fields must be completed. If something does not apply, please enter "n/a".
Rental Property Address:
Lease Term Desired: Rental Rate:
One person in your group who will be the spokesperson:
Full Name: Cellphone:
Email Adress:
Birthdate: SSN:
Your Current Address: Month & Year Moved In:
Your Current Landlords Name & Phone:
Your Current Monthly Rental Rate: Your monthly Share:
Do You Intend To Keep Pets In The Property? Smoke:
CU Student? School / Major:
Current Year In School:    
Is there a group or organization common among applicants?:
Do You Plan To Sublease Your
Room for Semester Abroad or Summer, etc.?
It Yes When?
Prior Address: Monthly Rent:
Month & Year Moved in:
landlord Name: Landlord Phone:
Employer: Dates of Employment:
Position: Salary:
Supervisor: Supervisor Phone:
Parent / Guardian Name(s)::
Full Address:
Phone: Email:
How will you pay the monthly rent? Explain:
Note: Answering YES to any of the following questions will not automatically eliminate you from consideration.  
Have you ever been evicted
from a place of rental?
Do you owe any unpaid rent?
Have you ever violated a lease, rental agreement or regulations at a
former place of rental?
Have you ever been arrested and or ticketed by the police for any reason OTHER than traffic offences?
For what? When?
Have you ever filed bankruptcy?    
Have you ever bounced a rent payment check? If yes, how many?
Has any of your security deposit ever been withheld from any place of rental for any reason?
If yes, explain:
Have you ever violated CU’s Behavior Code and been required to appear before Judicial Affairs?
If yes, explain::
Are you currently facing prosecution for any misdemeanor or felony?
If yes, explain::
Are you a registered sex offender or under consideration for registration?  
Owner and/or agent for the owner reserves the right to reject this application and to refuse possession of the above mentioned accommodations. I have read the foregoing and certify that the information herein is TRUE and CORRECT, that this application is submitted for the purpose of inducing approval of this application in my behalf, and any errors in this application may be used by owner and/or agent to terminate the lease agreement at any time.
I authorize all references, corporations, employers, credit bureaus and banking institutions to release any information the background investigation agency may require in connection with this check. Further, I understand information may be requested concerning my criminal and civil history from various private and public sources and authorize the procurement of this information. I understand that these files may contain negative information; therefore I agree to hold harmless the background investigation agency and any agent acting on its behalf, from any and all liability arising through the investigation of my background. I understand that my date of birth is used solely as an identifier to avoid possible misidentification while completing the background check process. I further acknowledge that a facsimile (FAX) pr photographic copy of this release will be valid as the original. Under the Fair Credit Reporting Act (FCRA), I am entitled to receive a copy of the background report before my application is denied and or any adverse action is taken against me based in whole or in part on information contained in such a report. I am also free to contact the Federal Trade Commission about my rights under the FCRA.
Signature (Type your name to sign): Date:
By clicking Submit you are agreeing to all terms and conditions above.