Columbia Residential Waitlist Application

Please continue to submit your application online.

Columbia Residential Waitlist Application

Please tell us about yourself

Full Name*
Date of Birth*
Do You Identify As Hispanic or Latino?*
You must enter number in ###-##-#### format, including dashes.
Enter the number exactly as it appears on your ID, including spaces, dashes, or any other special characters.
Are you a former resident of 2100 Memorial, having lived there as of August 2017?
Do any household members require a UFAS or fully accessible unit due to a disability? - Copy

Your Contact Information

Household Members

How many permanent household members—including yourself—will live in the apartment home during the next 12 months? Be sure to count any temporarily absent family members, foster children/adults, unborn children, or live-in care attendants.

Resident 2

Full Name
Date of Birth

Resident 3

Full Name
Date of Birth

Resident 4

Full Name
Date of Birth

Resident 5

Full Name
Date of Birth

Employment

List ALL full-time or part-time employment, including self-employment of ALL household members, and the anticipated income from each source of employment during the next 12-month period.

Head of Household Employment Status*
Does the Head of Household Receive Social Security?
$
Does the Head of Household Receive a Pension?
$
$
Include bonuses, overtime, tips, commission
Does the Head of Household Have a Second Employer?
$
Include bonuses, overtime, tips, commission
Spouse/Roommate Employment Status*
Does Your Spouse/Roommate Receive Social Security?
$
Does Your Spouse/Roommate Receive a Pension?
$
$
Include bonuses, overtime, tips, commission
Does Spouse/Roommate Have a Second Employer?
$
Include bonuses, overtime, tips, commission
Other Household Member Income?*
$
Include bonuses, overtime, tips, commission
$
Do not include income already listed above.
$
Do not include income already listed above.

Additional Income

Any other regular monthly income (all household members)?*
Not including income already listed above
$
$
$
$
$
$
$
$
$
$

Total Income Estimate

$
$
$

By initialing below, you certify that the numbers above represent the best estimate of household employment/other income. Your initials will serve as a method of a digital signature. When the application for residency is completed, all income will be verified by a third party.

When the application for residency is completed, all income will be third-party verified.

Home Choices

How many bedrooms do you prefer?*

I certify that the facts set forth in this waitlist pre-application are true, complete, and correct to the best of my knowledge and belief and are made in good faith. As an inducement to the management to accept this waitlist pre-application, I warrant that all statements contained herein are true.

I have been advised and understand that residency at this community entails certain income restrictions and that residency is subject to qualification. The applicant hereby affirms that the statements and information contained in the waitlist pre-application are true and correct and that the applicant gives authority to the Landlord to obtain credit information through the use of a Credit Reporting agency, including, but not limited to, the obtaining of a Consumer Credit Report on the Applicant is a continuing right agreed upon by the Applicant, including, but not limited to, credit verification, skip tracing, or the collection of any delinquent accounts which the Applicant may maintain with the Landlord.

By execution of this pre-application, I hereby authorize the manager to make such investigations into my history, as they deem appropriate. I understand that such investigation typically includes, but is not limited to, verification of employment and salary, motor vehicle record check, criminal background check, rental history, and consumer credit reports.

I/We understand that credit and background checks will be run prior to an appointment being made to complete the application process. It is understood that should my/our credit or background not pass the initial screening process I/we will be notified via the email address used in this pre-application of the denial, and my/our name(s) will be removed from the waitlist. No other notification will be sent.

I/We certify there is no other source of income, the above information is true, complete, and correct to the best of my/our knowledge and belief, and is made in good faith.

Digital Signature

Head of Household Full Name*
Date Signed*

IT IS THE POLICY OF THIS COMMUNITY TO RENT TO QUALIFIED PERSONS REGARDLESS OF RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, HANDICAP, OR FAMILIAL STATUS IN COMPLIANCE WITH ALL FEDERAL, STATE, AND LOCAL LAWS. HUD ADDITIONALLY PROVIDES FAIR HOUSING PROTECTION BASED ON GENDER IDENTITY AND SEXUAL ORIENTATION.

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