Name: Current Address: City: State: Zip: Phone: Alt Phone: Parents Name: Parents Address: Parents City: Parents State: Parents ZIP: Parents Phone: Current Landlord: Current Rent per Semester: Reason for Leaving: Have you ever been evicted: YES NO Do you plan to have a car: YES NO What are you majoring in: In a fraternity or sorority: YES NO Sports or Activities: School expenses paid by: Myself Parent Loan Other Living expenses paid by: Myself Parent Loan Other Number of occupants: One Two Three Refernce: