Student Housing Application Please enable JavaScript in your browser to complete this form.Apartment Building Desired:The M @ 414 2 BedroomMadisonVue Floor Plan 1 MadisonVue Floor Plan 2WestEdge Micro UnitsHolland EdgeStudent Requirement *Missouri State UniversityOTCDrury UniversityOtherThese apartments require that you are a undergraduate or graduate student.If "Other", please explain.Name *FirstLastDate of BirthMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security Number or Passport Number *Driver License # *Phone *Email *Permanent AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmploymentEmployerEmployer TelephoneStarting Date Of EmploymentMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gross Monthly IncomeRental HistoryHave You Ever Rented Before? *YesNoIf YES, please complete the following (include any previous rentals with Magers Properties if applicable):Reference OneManagement Company Name / OwnerContact Phone NumberAdditional InformationAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeReference TwoManagement Company Name / Owner Contact Phone Number Additional InformationAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRoommatesParagraph TextEmergency ContactName *FirstLastRelationship *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *AgreementI represent that the information set forth above in this application is true, complete and correct. I understand that you and others are relying on these representations in connection with leasing property to me. By signing below I authorize you to check my credit and employment history, and to answer any questions others may ask you about my credit history with you.Do you understand and agree to the terms listed above? *Yes, I understand and agree to the terms listed above. Your Name *FirstLastDate / TimeDateTimeParent GuarantorOptionalYour NameFirstLastDate / Time DateTimeFOR AND IN CONSIDERATION of the mutual promises and covenants set forth in the Lease Agreement, and to induce the LANDLORD to enter into the Lease Agreement of the above-described premises with the TENANTS, the undersigned (Guarantor) hereby guarantees to LANDLORD, its successors and assigns, the payment by TENANTS of any and all rental payments (and all other charges and fees) to be paid by TENANTS to LANDLORD as provided in the Lease Agreement, and further guarantees the performance of all other terms, covenants, conditions and obligations set forth in the Lease Agreement on the part of TENANTS to be performed. Notice of all defaults is waived and consent is hereby given to all extensions of time that LANDLORD may grant to TENANTS. This Guaranty shall apply not only to the original or base term of this Lease Agreement, but to any extended or continued occupancy thereafter.NameSubmit