This Qualifying Application must be filled out by the person whose application it is. It will not be accepted if filled out by parent or other individual.Renter InformationGroup Number*Name* First Middle Last Preferred NameBirth Date* MM slash DD slash YYYY Cell Phone*Email* Gender Male Female Are you currently a student?* Yes No What school do you currently attend?*SelectAppalachianCaldwellOtherSchool Name*Full time?* Yes No If no, do you plan to attend school?* Yes No Current Year in School* Freshman Sophomore Junior Senior Grad Student Other Where do you live currently?*On CampusIn Rental UnitWith Parents/Relative(s)OtherWho do you rent from?* Holton Mountain Rentals (HMR) What unit?*If other, expalin*Have you previously rented from HMR?* Yes No If yes, list properties:*Have you ever refused to pay rent?* Yes No If yes, explain*Have you ever had an eviction filed against you?* Yes No If yes, explain*Have you ever been evicted?* Yes No If yes, explain*Do you currently have any pending criminal charges against you?* Yes No If yes, explain*Have you ever been convicted of a crime?* Yes No If yes, explain*Are you a member of a Fraternity or Sorority?* Yes No Name of Fraternity of Sorority*Will you be under 26 years of age when the lease starts?* Yes No Holton Mountain Rentals requires anyone under 26 years of age to have a Co-signer. Individuals under 26 years of age typically do not have sufficient income and/or credit to financially qualify on their own.Do you have a Parent, Grandparent, Aunt/Uncle or Legal Guardian who is financially able and willing to be your co-signer and lives in the United States? Yes No If no, please call the Holton Mountain Rentals office to discuss before submitting.Co-signers Full Name(s)*Cell Phone #*Email Address* Are you employed full time?* Yes No If no, please explain how your rent will be funded*Has you ever filed Bankruptcy?* Yes No If yes, when?*Has you ever been foreclosed on?* Yes No If yes, when?*Application Fee Price: Application Fee Price: Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name CAPTCHA
