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Student Lease and Credit Application

After you're done, fill out the Student Tenant Profile too.

Note: Social Security Numbers are required for US residents to generate credit history reports and incomplete applications will NOT be processed.

Student Information

How did you hear about us?

Your Full Name

Your Last Name

Your Permanent Street Address

City

State

ZIP

Country

Province

Student Phone

Student Cell

Student Email

Gender

Date of Birth

Social Security Number (Required for US Residents)

Year You Are Entering

What Semester Are You Applying For?

Term

Year

Parent #1

Parent's Full Name

Relationship to Applicant

Marital Status

Home Address

City

State

ZIP

Phone Number

Cell Number

Date of Birth

Social Security Number (Required for US Residents)

Parent #2

Parent's Full Name

Relationship to Applicant

Marital Status

Home Address

City

State

ZIP

Phone Number

Cell Number

Date of Birth

Social Security Number (Required for US Residents)

By checking the box below, I agree to allow Percy Road Housing, L.L.C. to generate a credit history report.

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1013 Residence Drive
Lemont Furnace, PA 15456

Venmo @raymond-carolla

Tell us about yourself!

Student Lease and Credit Application

Students Menu

Log in to view student room assignments

University Commons

Venmo @raymond-carolla