Webster Apartments Application for Housing

1 Applicant

Applicant Information

First Name

Last Name

Date of Birth

Guest Type

Email

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

Stay Details

Check-in Date

Check-out Date

Are You Coming to the USA on a Visa?

YesNo

Which Visa Category/Type?

Have You stayed at Webster previously?

YesNo

Check-in Date of Previous Stay:

Check-out Date of Previous Stay:

2 Education

Education Information

Current Status

Please specify:

Name of College/University

If applicable.

Start Date

End Date

3 Internship Details

Company Name

Company Phone 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

End Date

Amount of Hours Per Week

Pay Frequency

Stipend & Other: Specify Amount

Employer Reference

Supervisor Details

Supervisor Title

Supervisor Name

Phone Number

Email

4 Emergency Contacts

Primary

Name

Relationship

Phone Number

Email

Secondary

Name

Relationship

Phone Number

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)
Employment Verification(s) (Click HERE for examples of accepted documents)

Government ID

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

Employment Verification

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

Do you have a Promo Code?

YesNo

Referring Organization

Promo Code

Room Preference (based on availability only)

6 Authorization

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