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.