Custodian part time

PROPERTY: **** WILKINS DR, WILLIAMSBURG VA -

NOV 2022

RENTAL APPLICATION – All information is strictly confidential, subject to verification.

Applicant Information

Full Name:

Date:

Full Address:

City

State

ZIP Code

Cell Phone:

Email

Move-in date availability:

Total no. of ALL persons to live in the house

Total no. of MINOR children or dependents:

Status (married, single, divorced):

Are you a citizen of the United States?

YES

NO

If no, are you authorized to work in the U.S.?

YES

NO

Have you ever been evicted?

YES

NO

If yes, when, where?

Have you ever been convicted of a felony offense?

YES

NO

What, When and Where?

Explain:

Employment

Current:

Address:

From:

To:

Fulltime?

YES

NO

Position:

Previous:

Address:

From:

To:

Fulltime?

YES

NO

Position:

STUDENT?

From:

To:

Fulltime?

YES

NO

School:

Current Landlord Reference (to be contacted if selected)

Name:

Email:

Company:

Phone:

Address:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

I understand that false or misleading information is subject to nullification or eviction.

Initials:

Date:

Contact this candidate