Online Rental application

You’ll Love The Jewel!

2 Bedroom

1 Bedroom

Sign up for:

Preferred Rent

Prairie Jewel Online Rental Application

$

$

Total Number of Tenants?

If yes, #/type?

Cashier’s Check

Personal Check

If you are a college student, how do you intend to pay your rent?

Primary Tenant Full Name:

Current Address:

Phone:

E-mail:

State/Prov:

City:

Zip/Post. code:

Country:

Do you smoke?

Do you have pets?

Additional Tenant Full Name:

Current Address:

Phone:

E-mail:

State/Prov:

City:

Zip/Post. code:

Country:

Please Mark Your Preferred Method of Rent Payment

Birth Date:

Birth Date:

Current Landlord’s Full Name:

Landlord’s Address:

Landlord’s Current Phone:

Landlord’s E-mail:

State/Prov:

City:

Zip/Post. code:

Country:

Current Employer’s Full Name:

Employment Address:

Employer’s Current Phone:

Current Monthly Wage

State/Prov:

City:

Zip/Post. code:

Country:

Today’s Date:

Full Name of First Reference:

First Reference Current Phone:

Full Name of Second Reference:

Second Reference Current Phone:

Full Name of Third Reference:

Third Reference Current Phone:

Why would you make a good tenant?

By clicking Submit, I hereby certify that all information I have provided on this form is truthful and accurate.  Furthermore, I authorize Prairie Jewel Apartments to contact the references I have provided and conduct any credit and background checks they deem necessary to assess my qualifications as a tenant.  I understand that if any information I have given is found to be inaccurate, either now or in the future, that this could jeopardize my status to remain a qualified and eligible prospective tenant within the Prairie Jewel Apartment community.

Payment

Please note—You will need to have Outlook installed in order to use this form.  If you do not have Outlook, don’t despair!  Simply download the Microsoft Word version of our Rental Application HERE.  Then, print it, fill it out, scan it and email a copy to:  PrairieJewelApartments@gmail.com  Hope to hear from you soon!