Apply – HTD STAYS

First Name *

Last Name *

Birthday *

Month

Day

Year

Email *

Phone

Employer Name *

Employer Contact *

Employer Position *

Employed Since *

Monthly Gross Income *

Emergency Contact - Name & Phone Number* *

What Unit Are You Applying For? *

Current Residence *

Landlord Name & Contact Information *

Length of Lenase & Reason For Leaving *

Have You Ever Been Convicted of A Crime? If Yes, Please Explain *

Have You Ever Been Evicted And/Or Broken a Lease? If Yes, Please Explain *

Have You Ever Filed for Bankruptcy?

Do You Have or Expect to Have Animals? *

Are You Allergic to Any Animals? If Yes, Please List

Are You Subject to a Lifetime Sex Offender Registration In Any State? *

Have You Ever Filed a Lawsuit Against a Landlord or Property Management Company? *

Are You a Current User of Illegal Substances? *

Do You Abuse Alcohol to the Extent that You're a Danger to Others' Health, Safety, or Right to a Peaceful Enjoyment? *

Are You Able to Live With a Diverse Group of Individuals in the Same Home? *(Type N/A if you are applying for a private apartment)

HTDSTAYS Online Application