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STOP!  Complete this application only after you have seen an apartment with one of our Rental Agents

A $20.00 non-refundable fee is due at time of processing, made payable to CSP Management

EMAIL ADDRESS (required):  
ADDRESS OF INTERESTED PROPERTY:  
DESIRED MOVE IN DATE:   (MM/DD/YYYY)
Name:  
SSN:   (XXX-XX-XXXX)
Present Address:  
Present Phone:  

Length of Current Residency

From:   (MM/DD/YYYY) 
To:   (MM/DD/YYYY)
Are you over 18 years of age?  yes  no Birthplace:
(City, State/Province, Country)
Present Employer:  
Supervisor:  
Address:  
Phone:  
Position:  

How Long   

   

From:  

 (MM/DD/YYYY) 

To:  

(MM/DD/YYYY) 

Total Monthly Income $:  
Prior Employer:  
Supervisor:  
Address:  
Phone:  
Position:  

How Long   

 
From:   (MM/DD/YYYY) 
To:    (MM/DD/YYYY) 

Reason for leaving:  
What is the source of income that will be used for payment of rent?
Salary  Parent  SSI Student loan/grants/financial aid
Other: 
Parent name / next of kin:  
(for security deposit return/emergency)  
Street Address:  
City/State/Zip:  
Home Phone:  
Work Phone:  
If student, what school:  
Graduating Year:  
Major:  
Minor:  
Bank Name:  
Type of Account:  
Branch/City:  
Vehicle - Make:  
Model:  
Color:  
Year:  
License Plate #:  
State:  
How did you learn about this property?  
Newspaper - Ithaca Journal Cornell Daily Sun  Ithaca Times

Referral/Friend   Internet  Off Campus Listing   Other:

Do you smoke? Yes  No  
Do you own pets? Yes  No  
How many people will be residing in this apartment (including self):   Adults:   Children:
HAVE YOU EVER BEEN CONVICTED FOR THE DEALING, POSSESSION OR MANUFACTURING OF ILLEGAL DRUGS?
No  Yes  Explain:  
REQUIRED REFERENCES     
List below Landlord references where you have lived for at least one year
Present Landlord (Name):  
Phone:  
If you are a student, is this: on campus housing         off campus housing
Previous landlord:  
Phone:  
Address:  
Length of Rental:  
PERSONAL REFERENCES     
List one person not related to you, whom you have known at least one year
Name:  
Home Phone:  
Work Phone:  
Years Acquainted:  

DISCLOSURE:  YOUR SIGNATURE GIVES C.S.P. MANAGEMENT THE RIGHT TO RETRIEVE YOUR CREDIT REPORT.  IT ACTS AS A RELEASE TO OBTAIN INFORMATION FROM PRESENT AND PREVIOUS LANDLORDS AND EMPLOYERS AND PERMITS US TO CONDUCT A THOROUGH BACKGROUND CHECK.  THIS APPLICATION IS AN ADDENDUM TO AND BECOMES PART OF 
THE CONTRACT.

Please type your name in the box, as this represents your signature.
You will be asked for a physical signature when you pay the application fee at the office.
Signature:  
   
Date:   (MM/DD/YYYY)