Lease Application

Please fill out the below information as accurately as possible. Once we have this information we will send you a confirmation email with further instructions on how to submit a copy of your student ID and how to pay both your application fee and security deposit. If you are an international student we will ask you to provide a copy of your passport and the front page of your I20 form.

* Indicates required field

Name *

First

Last

Email *

Cell Phone Number *

Date of Birth (MM/DD/YYYY) *

Social Security Number *

Permanent Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Where are you applying for? *

Are you applying with roommates? *

For the purpose of procuring credit from time to time I furnish the above information as true and accurate. I hereby authorize Roland Realty, Inc. and its agents to verify, in any manner deemed appropriate, any and all items on this application. Statements made herein shall survive execution of any lease agreement and false statements may be grounds for eviction. I hereby authorize Roland Realty and its agents to contact my at the given email address above.

Submit