Online Application

Personal Information
*First Name
Middle Name
*Last Name
*Email
*Address Line 1
Address Line 2
*City
*State	Select a State I live outside the US Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip or Postal Code
Country (if not United States)
*Daytime Phone	Remember to include your area code.
Date of Birth	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
*Gender	Male Female
*Student/Employee ID Number	000
*University Affiliation	Select... Faculty Staff Visiting Scholar Undergraduate Senior Graduate Student Post-doc Student Non-traditional Student Other (enter at right) Other:
*Academic Department Affliation
Department Contact/Advisor
*Expected Move-in Date	Select date
Furnishings	Furnished Unfurnished
Type of Housing Desired	Studio Apartment One Bedroom Apartment Two Bedroom Apartment "Super 2" Two Bedroom Apartment
Other Resident Information
Step 1
Number of people in household
Marital and Child Status	Single (skip to step 4) Married Person without Child(ren) (continue to Step 2) Married Person with Child(ren) (continue to Step 2) Single Parent with Child(ren) (skip to Step 3)
Step 2
Name of Spouse
Date of Birth	(MM/DD/YYYY format)
Gender	Male Female
Step 3
Name of 1st Child
Date of birth	(MM/DD/YYYY format)
Gender	Male Female
Name of 2nd Child
Date of birth	(MM/DD/YYYY format)
Gender	Male Female
Name of 3rd Child
Date of birth	(MM/DD/YYYY format)
Gender	Male Female
Name of 4th Child
Date of birth	(MM/DD/YYYY format)
Gender	Male Female
Step 4
Felony Disclosure Statement	Please indicate if you have ever been charged with a crime other than a traffic-related misdemeanor or infraction: Yes No
If yes, please provide a brief explanation of the felony committed, when it occurred, and the disposition of the case.
How did you find out about E.S. King Apartments?

By submitting my housing application, I agree to the following:

Submission of this application does not guarantee an apartment placement. A security deposit of one month’s rent must be received before any assignment is made permanent. The applicant agrees to update any information that changes on this application. Failure to accept an assignment offered by the E.S. King Village Complex will result in termination of this application and will require a new application be submitted.