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Yearly Rentals
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Roommates

We have several rooms available in several different rental units. Please fill in your information and interests and we will try to find a good fit for you.

Your Information

Full Name

Current Address

City

State

Zip

Email

Cell Phone

Other Phone

Student Status
Full Time PSU Student Part Time PSU Student Not In School

Anticipated Year of Graduation

Are You Employed?
Yes No

Employer's Name, Address & Phone Number

Employee Supervisor

Weekly Take Home Pay $

Length of Employment

Your Preferences

Gender Preferences
Males Only Females Only Coed

Drinking Preferences
I do not drink I do drink I will not live with a drinker

Smoking Preferences
I do not smoke I do smoke I will not live with a smoker
All our proerties are non-smoking.
This question is asked due to health issues some may have by living with a smoker.

Are you comfortable for other's friends or significant others sleeping over?
I am OK with that It depends I am uncomfortable with that

Room Characteristics

Privacy Characteristics

About You

Comments

BY SUBMITTING THIS FORM, I HEREBY STATE THAT THE INFORMATION GIVEN HEREIN IS TRUE AND CORRECT, AND AUTHORIZE VERIFICATION OF SAID INFORMATION AND A CREDIT AND REFERENCE CHECK.

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