Please select the Premise:

451 Philadelphia Street 453 Philadelphia Street 452 Nixon Avenue 450 Nixon Avenue 125 South 10th Street - Apt 1 125 South 10th Street - Apt 2 928 Water Street 924 Water Street - Apt 1 924 Water Street - Apt 2 924 Water Street - Apt 3 575 Grant Street 1150 Church Street 1154 Church Street 250 South 7th Street - Apt 1 250 South 7th Street - Apt 2 250 South 7th Street - Apt 3 250 South 7th Street - Apt 4 258 South 7th Street - Apt 1 258 South 7th Street - Apt 2 258 South 7th Street - Apt 3 258 South 7th Street - Apt 4 258 South 7th Street - Apt 5  

Please supply the following information about yourself:

      Year in School:  Freshman Sophomore Junior Senior 5th Year Summer Student

      Current GPA? (GPA of 2.5 and above is required) 

      Are you currently a member of a fraternity or sorority, 

        or do you plan on becoming a member in the future?  Yes

        If Yes, which fraternity or sorority?  

      Are you able to comply with our 'No Pet' Policy?        Yes

Please supply the following Parent Information:

       Are your parent(s) willing to sign a Parental Guarantee?  Yes

Please supply the following housing information:

    Present Landlord or Dormitory Name?    

    Present Landlord or Dormitory Number? 

    Do you give permission for us to contact your present/past landlord to provide a rental reference?   Yes

Please list all members of your group:

** Please separate each name by a comma    

Date: 

By clicking the Submit Application button, you attest that the above information is true.