Webster Apartments Application for Housing

1 Applicant

Applicant Information

First Name

Last Name

Email

Date of Birth

Guest Type

Social Security Number

Phone Number

Phone Number (International)

Country

Permanent Home Address

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

State

State/Province

City

ZIP

ZIP/Postal Code

International

2 Education

Education Information

Current Status

If Other, please specify:

Name of College/University Attended

If applicable.

Start Date

End Date

3 Employment

Employment Status

Traditional Employees: Employed by a company that they do not own. Self-Employed: Business owner who earns a living by working for herself and not as an employee of someone else.

Company Type

Date of Establishment

If Other, please specify:

Nature of Business (Industry)

Company Name

Company Phone Number

Position Title

Full Time?

Requirement for Webster: Workers 35+ hours per week.

Start Date

End Date

If applicable

Amount of Hours Per Week

Pay Frequency

Annual Gross Salary

Please calculate your gross annual salary in USD before taxes. Do not include $ or decimal places.

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 #1

Please enter in the format: Last Name, First Initial - Verification1

Employment Verification #2

Please enter in the format: Last Name, First Initial - Verification2

Employment Verification: Office Location Lease Agreement

For Self-Employed applicants only. Please enter in the format: Last Name, First Initial- Office Lease

Employment Verification: Tax Return

For Self-Employed applicants only. Please enter in the format: Last Name, First Initial- Tax Return

Do you have a Promo Code?

YesNo

Referring Organization

Promo Code

6 Authorization

Applicant confirms that the information given in this form is true, complete and accurate. Applicant hereby authorizes verification of the above information, and applicant releases from liability or responsibility all persons and corporations requesting or supplying such information. Applicant acknowledges that false information here may constitute grounds for denial of this application, termination of right of occupancy, eviction from the premises and/or forfeiture of deposits. Applicant understands and acknowledges that as a condition of the application for a room, The Webster Apartments may obtain a consumer credit report that includes but is not limited to the applicant’s creditworthiness, or similar characteristics, employment and education verification, social security verification, criminal and civil history, DMV records or any other public records and any other information bearing on applicant’s credit standing, financial capacity, character, general reputation and trustworthiness. Applicant hereby authorizes and permits The Webster Apartments to perform background checks and obtain information from credit reporting sources, current and previous landlords, past and present employers, banks and law enforcement agencies. This application is preliminary only and does not obligate The Webster Apartments or its employees or agents to offer a lease, execute a lease, or deliver possession of any room or apartment. Applicant acknowledges that any tour or inspection of the building, the premises or the room therein is for informational purposes only and does not obligate The Webster Apartments or its employees or agents to offer a lease, execute a lease, or deliver possession any room or apartment.