Apply for a Room | 1917 Delaware St

Applicant Information

Full Name*

Date of Birth*

Social Security Number

Passport Number

Email Address*

Phone Number*

Cal Student ID (if applicable)

Home Address*

Course & Year*

Expected Graduation Date*

Parent / Guardian Information

Full Name*

Social Security Number

Passport Number

Relationship to Applicant*

Phone Number*

Email Address*

Home Address*

Occupation*

Rental Preferences

Lease Start Date*

Lease End Date*

How many students will be living at this unit?*

What are you renting?*

One room in a shared 3-bedroom unit

You'll share the kitchen, bathroom, and living room with other tenants.

The entire 3-bedroom unit

You (and/or co-signers) take all 3 bedrooms in the unit.

Which unit would you like?*

1st floor

$3,490 / month

2nd floor

$3,790 / month

3rd floor

$3,950 / month

Do you require parking?*

YesNo

Short Bio

Introduce yourself*

Financial Information

Source of Income*

Guarantor Name & Contact*

Bank Information (Name, Branch, Account Number)*

Additional Information

Have you rented before?*

YesNo

Do you have any pets?*

YesNo

Do you smoke?*

YesNo

Note: SMOKING IS NOT ALLOWED ON THE PREMISE.

Declarations

I declare that the information provided above is true and complete to the best of my knowledge.

I consent to background and reference checks, if required.

Signature (type your full name)*

1917 Delaware Str

Rental Application

Applicant Information

Parent / Guardian Information

Rental Preferences

Short Bio

Financial Information

Additional Information

Declarations