Webster Apartments Application for Housing - Intern And Student Application

1 Applicant

Applicant Information

First Name

Last Name

Date of Birth

Email

Guest Type

Applicant Type

Social Security Number

Phone Number

Phone Number (International)

Country

Permanent Home Address

Include street name, number, and apartment/building/floor

City

State

State/Province (International)

ZIP

ZIP/Postal Code

International

2 Education

Education Information

Current Status

Please specify:

Name of College/University

If applicable.

Education Start Date

Education End Date

3 Internship Details

Company Name

Company Phone Number

Area Code + Number

Position Title

Full Time?

Paid?

For paid internships, payment details and frequency will be verified per your Internship Offer Letter.

Approx. Annual Income

Please calculate your gross annual salary in USD before taxes.

Start Date

Pay Frequency

End Date

Amount of Hours Per Week

Stipend & Other: Specify Amount

Employer Reference

Supervisor Details

Supervisor Name

Supervisor Title

Supervisor Phone Number

Email

4 Emergency Contacts

Primary

Name

Relationship

Phone

Primary Phone Number

Primary Phone Number (International)

Email

Secondary

Name

Relationship

Phone

Secondary Phone Number

Secondary Phone Number (International)

Email

Emergency Contact Consent to Release Information: In the event of a medical emergency, I authorize The Webster Apartments to release my medical contact information to health care providers as it may in their professional judgment be necessary to provide for my medical care. By signing this form, I understand and agree that I voluntarily release this emergency contact information. Further, I acknowledge that I am responsible for providing any updated emergency contact information to The Webster Apartments. This is a consent to release emergency contact information only. If you wish health care providers to have access to information regarding your directives or power of attorney or any other critical information, it is advised that you keep that information available in an emergency packet in your room or that you have such information on file with The Webster Apartments.

5 Document Upload

To apply, all applicants—both workers and interns - must upload the required supplemental documents listed below:

Government Issued ID (ie: Passport)
Student or Employment Verification(s) (Click HERE for examples of accepted documents)

Government ID

Please name your file in the format: Last Name, First Initial -ID

Student or Employment Verification

Please enter in the format: Last Name, First Initial - Verification

Do you have a Promo Code?

YesNo

Referring Organization

Promo Code

6 Authorization

I confirm that the information given in this form is true, complete and accurate.