Apply Online Name * First Name Last Name Email * Phone Number * (###) ### #### Date of Birth * MM DD YYYY Current Address * How many people will be living in the apartment? * 1 2 3 Name of Current Apartment Manager (if applicable) Phone Number of Apartment Manager (if applicable) (###) ### #### Have you ever been evicted from tenancy? * Yes No Have you willfully or intentionally refused to pay rent due? * Yes No Do you have Renter's Insurance? * Yes No Do you smoke? * Yes No Are you currently employed? * Yes No Employer and Position * Date Started * MM DD YYYY Monthly Gross Income * $ Supervisor's Name * Supervisor's Phone Number * (###) ### #### Have you ever filed for bankruptcy? * Yes No Do you have additional income? * Yes No Additional Gross Income (if applicable) $ If qualified, would you submit to a credit check? * Yes No Digital Signature Thank you for your interest in the Eleftheria! We will get back to you shortly!