Student Application

*Required Field

Name *

Home Phone *

Work Phone

Present Address *

Email Address (other) *

Acadia Email @acadiau.ca

Parents Name(s) *

Phone *

Address *

Postal Code

Present Landlord

Phone

Number of Years in University *

Major

Name of Resident Assistant

Phone

Present Employer

How Long?

Occupation/part time during
school year or summer work:

Extra Curricular Activities involved with:

References: (non relative - character/personal or school/work related)

1) Name *

2) Name *

Phone *

Phone *

Apartment Size Required

Bachelor1 Bedroom2 Bedroom3 Bedroom4 Bedroom5 Bedroom

Are you applying for, or have you been shown a specific apartment? If applicable, please provide information.

Date Required

I understand that this application will form part of the lease with JA MacKay Rentals and/or Associated Agencies. By submitting this application, I acknowledge that I am giving JA MacKay Rentals permission to make any investigation, including credit, etc. to substantiate this application.

I understand that NO PETS ARE PERMITTED and there is NO SMOKING IN PREMISES.