Olympus Online Rental Application
Apply Online
A PDF version of this application also exists, if you would like to fill out an application by hand please download it here.		 Applicant

Leasing Information
Please select your desired apartment
 		Please select your leasing agent


Personal Information
First name

(Do Not Use Nicknames)		 MI
 Last name
 Suffix


Address line 1


Address line 2
City

(Bloomington)		 State/Province

(Indiana)		 Zip

(47401)

Country


Years at current address
Home phone number
(for example, 555-555-5555)		 Cell phone number

Current email address

(must be valid or your application will not be processed)
Date of birth

(MM/DD/YYYY)		 Social security number

(for example, 123-45-6789)


Vehicle make/model
 		Vehicle license plate number

State vehicle is registered
(Indiana)
 Drivers license state

Are you a student?
Yes No
Field of study
(Business)		 Year

(Senior)

Do you have a pet?
Yes No

If yes, what kind?


Names of roommates who will also be applying



Previous Leasing Information

Have you ever rented a house or apartment?
Yes No

Address line 1

(If different from above)

Address line 2
City

(Bloomington) 		State/Province

(Indiana)		 Zip

(47401)

Country


Landlord's name
 		Landlord's phone
 Rent Amount

(number only i.e. 900)

Reason for moving?



Parent/Guardian Information

Name


Address line 1


Address line 2
City

(Bloomington) 		State/Province

(Indiana)		 Zip

(47401)

Country


Home phone number
(for example, 555-555-5555)		 Work phone number


Emergency Contact Information
Name
 Contact's relationship to you

Address Line 1


Address Line 2
City

(Bloomington) 		State/Province

(Indiana)		 Zip

(47401)

Country
Home phone number
(for example, 555-555-5555)		 Work phone number


Employment Information
Employer name
 		Supervisors name
 Phone number

Length of employment

(in months)		 Current monthly income

(number only)

Current source of income


Payment information

Your portion of the rent will be paid by?



Legal Questions

Have you ever been evicted from a rental unit?
Yes No
If Yes, why?


Have you ever been sued for non-payment of rent?
Yes No
Do you currently have any outstanding judgment against you?
Yes No

Have you ever been convicted of a felony?
Yes No

Terms
Do not submit application unless image is displayed.
Do you agree to the terms above?
Yes No
Date

(MM/DD/YYYY)		 Applicants full name

Additional comments about your application


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