Create Application: Step 1

Create Application: Step 1 (Primary Applicant)

General Information

If you wish to create an Application without a Prospect, leave the Associated Prospect field blank.

Floorplan*

Unit Designation*

Is Section 8*

Primary Applicant

First Name*

Middle Name

Last Name*

Email*

Phone*

DOB*

SSN

Alien Registration

Gender*

Race*

Ethnicity*

License Number

License Issue State

Is Student*

Street*

Suite/Unit

City*

State*

Zip*

Employment Information

Employer Name

Employer Street

Employer City

Employer State

Employer Zip

Supervisor Name

Supervisor Phone

Supervisor Email

Job Title

Job Start Date

Annual Income

Additional Annual Income

Previous Rental History

Previous Residence Name

Previous Move-In Date

Previous Rent Amount

Previous Street

Previous Suite/Unit

Previous City

Previous State

Previous Zip

Landlord Name

Landlord Phone

Landlord Fax

Rent or Own

Step 1

River Valley

Online Application