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APPLY ONLINE

Do you think that Campus Village Communites is exactly what you're looking for? If so, use use the form below to apply for the Campus Village Experience and see why we are more than just student housing. Simply click the link below to start your application.

• Click Here To Apply Online Now!

You may also print a copy of our application form and submit it via Fax:
• Online Application

All documents are in PDF format and require Adobe Acrobat Reader. Click to open/print. Right click and select "Save As" to retain a copy on your computer. To submit your application or to view an apartment, please use the contact information below.



Campus Village Communities
915 E. Siena Heights Drive
Adrian, Michigan 49221
Phone: (517) 263-3900
Fax: (517) 263-3994
siena@campusvillage.com
 









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©2009; Campus Village Communities. All rights reserved. Designated brands and trademarks are the property of their respective owners.
www.campusvillage.com is a division of Campus Village Concepts, LLC & Campus Village Management, LLC.
Use of this website constitutes acceptance of our Privacy Statement.

Personal Information:

 
First Name:

*


Middle Initial:
Last Name:

*


Date of Birth (M/D/YYYY):

*


 
Current Address:

*


 
City:

*


State:

*


Zip:

*


Country:
 
Cell Phone:
Home Phone:
Work Phone:
Email Address:

*


 
Year In School:
Major:
Gender:

*


Male Female
Are You A U.S. Citizen:

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Yes No

Vehicle Information:

 
Year:
Make:
Model:
Color:
License Plate:
License State:
License Number:
1/5

Background Information:
Check ONLY if applicable!

 
Your Rental History:
Been evicted or asked to move out of a residence?
Moved out of a dwelling before the end of the lease term without the owner's consent?
 
Your Civil / Criminal History:
Been sued for rent?
Declared bankruptcy?
Sued for property damage
Been charged, detained, or arrested for a felony or sex crimes that was resolved by conviction, probation,
deferred adjudication, court ordered community supervision, or pretrail diversion?
Been charged, detained or arrested for a felony or sex-related crime that has not been resolved by any method?

 
Please indicate below the year, location and type of each felony and sex crime other than those resolved by dismissal
or acquittal. We may need to discuss more facts before making a decision. You represent the answer is no to any item
not checked above.
2/5

Employment History:

 
Present Employer:
Employer's Full Address:
Phone Number:
Job Title:

Parental Contact Information:

 
First Name:

*


Middle Initial:
Last Name:

*


Cell Phone:
Home Phone:
Work Phone:
 
Current Address:

*


City:

*


State:

*


Zip:

*


Emergency Contact Information:

 
First Name:

*


Middle Initial:
Last Name:

*


Cell Phone:
Home Phone:
Work Phone:
 
Current Address:

*


City:

*


State:

*


Zip:

*


3/5

Apartment Preferences:

 
Please write your preferred lease duration below (ex. Starting in August, Fall to Spring, etc):

*



 
Apartment Type:

*


4 Bedroom / 4 Bath 3 Bedroom / 3 Bath 2 Bedroom / 2 Bath Premium 2 Bedroom
 
 
Roommate Information:
First Name: Last Name: Phone: Email Address:
4/5

Notifications and Wrap-Up:

 
How did you hear about Campus Village?
Newspaper
Web
Flyer
Signage
Referral
Other
 Do you have any special needs or requests?
(Please list here):
I hereby authorize Campus Village Communities to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I hereby expressly release Campus Village Communities, and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. I also understand that a cancelation fee may apply if this application is canceled by myself at any time.Applicant verifies that the information provided is true and accurate. By filling in your full name and last 4 digits of your Social Security Number below, constitutes a written signature.
Full Name:

*


Last 4 SSN:

*
5/5