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1-304-215-2006

Student Rental Application

Please contact Mike at 304-215-2006 with any questions or for additional information.

Rental Application

Each student needs to complete their own rental application and submit, online.

Student Rental Application (Click Here)

Name *

First

Middle

Last

Email Address *

Date of Birth *

Social Security Number

Current Address *

City/State/zip *

Cell Phone Number *

Academic Program *

Current GPA *

Class Rank *

Freshman
Sophomore
Junior
Senior
Graduate

Current Enrollment Status *

New Student
Current Student
Transfer student

Extracurriculars

Any Clubs, Organizations or Sports Teams associated with West Liberty University

What Semester are you applying for?

Fall
Spring
Summer

Property of Interest *

Birch
Cypress
Dogwood
Elm
Fir
Goldenrod
Hickory
Ivy
Jasmine
Kapok
Locust
No Preference

Parental and/or Guarantor Information *

First

Middle

Last

Address *

City/State/Zip *

Email *

Cell Phone *

Relationship to Student *

Father
Mother
Legal Guardian
Other

Proposed Roommates (If any)

First

Last

Phone Number

Proposed Roommates (If any)

First

Last

Phone Number

Proposed Roommates (If any)

First

Last

Phone Number

Current Landlord *

If you currently live on campus write “campus” for the landlord

Landlord Phone Number *

Reason for leaving *

Is your current rent up to date? *

Yes
No

Have you ever been evicted? *

Yes
No

Have you ever been sued for property damage? *

Yes
No

Have you ever been sued for rent? *

Yes
No

Is the total move-in amount available now (rent & deposit)? *

Yes
No

Have you ever been convicted or plead guilty or no contest to a felony, sex-related crime, or misdemeanor assault against another person? *

Yes
No

We perform background checks before final selection. You will not be allowed at Hilltop Acres if you lie about past convictions.

If you answered YES to any of the above questions, Please explain:

Emergency Contact *

First

Middle

Last

Address *

City/State/Zip *

Email *

Home Phone *

Cell Phone *

Relationship to Student *

Father
Mother
Legal Guardian
Other

Roommate Finder

It is always best if you have your own roommates. But if you don’t, we will do our best to place you with suitable roommates.

Roommate Matching Form

Name *

First

Middle

Last

Email *

Cell Phone Number *

Are you an early/morning or night person? *

Early/Morning
Night

Do you have a car? *

Yes
No

What are your study habits? *

Daily
Weekly
Last minute

What are your study preferences? *

I need a quiet place
I can study with distractions
I like to study with others

Describe your cleaning and housekeeping habits. *

Cluttered
Rarely clean
Sometimes clean
Usually clean
Very clean

My out of school activites include the following: *

Work
Sports/Recreation
Reading/Watching TV/Movies
Playing video games
School clubs/activites
Going out of town
Socializing with friends

Select all that apply

Please select the music styles you prefer: *

Alternative
Classic Rock / Rock
Rap / R&B
Pop
Electronic
Country
Religious
Classical

Select all that apply

Do you smoke? *

Yes
No

Can you live with a smoker? *

Yes
No

Select items that are important to you in matching with your roommate *

Age
Study Habits
Morning / Night Person
Music Preferences
Housekeeping Habits
Major

Select all that apply

I give my permission to release my name, phone number and email address to my roommate(s) once room assignments have been made. *

Yes
No

Three words that describe my personality would be: *

Three words that describe my Ideal roommate would be: *

I would like to room with the following person(s).

Full Name, Email and Cell Phone Number Required

Name

Contact Us

Please use the contact form below or text/call Mike at 304-215-2006 with any questions.

Name *

First

Last

Cell Phone Number *

Email *

If you didn't find the answer above that you were looking for we'd love to help you with it. *

Submit your question and we will get back with you as soon as possible.

Name

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