Rental Application Please make sure that javacript is enabled on your computer to submit this form. First Name: Last Name: Email Address: Date of Birth (mm/dd/yyyy): Name of Co-Applicant (if applicable): Other Occupants and their Relationship (if applicable): Car Make and Model: Requested Length of Lease: Monthly 6 Months 12 Month Other Current Address: Date you Moved In (mm/yyyy): Reason for Leaving: Owner or Agent: Phone Number of Owner or Agent: Previous Address (if within 2 years): Date you Moved In (mm/yyyy): Reason for Leaving: Owner or Agent: Phone Number of Owner or Agent: Your Employment Status: Employed Full-Time Employed Part-Time Student Retired Unemployed Current Los Alamos Employer: Dates Employed: Employed As: Supervisor: Supervisor's Phone Number: Salary: Please give any additional information which might help us evaluate your application. If management has any question about this application, please provide the daytime and evening phone numbers at which you can be reached. Daytime: Evening: PLEASE NOTE: If your rent exceeds thirty percent (30%) of your gross income, you will be required to pay for a credit report before your application can be processed. Upon management's acceptance of your application, you may accept the offer of an apartment by paying a Security Deposit of $675. If there is no vacancy, your name will be assigned the next place on a waiting list. When a vacancy becomes available we will call names on the waiting list. After a vacancy has been filled, your name will remain on the list for two months from the date of application. I agree that the above information is true and correct.