Name

Surname

Address

State and Zip

Phone

Email

Are You a: Are You a: Undergrad Graduate student Phd Professor

Will your parents be helping with your rent? Will your parents be helping with your rent? Yes No

Are you currently working? Are you currently working? Yes No

When would you need an apartment by?

Would you consider sharing an apartment? Would you consider sharing an apartment? Yes No

How long do you plan to stay?

Help us to find you the right apt. by sharing any information about yourself you wish us to consider