2005-2006 STUDENT ON-LINE APPLICATION

SENDING A DEPOSIT CHECK DOES NOT GUARANTEE A ROOM RESERVATION. PLEASE CHECK WITH THE ON-SITE MANAGER AT 435-752-6874 TO VERIFY YOUR STATUS.

PLEASE MAKE CHECKS PAYABLE TO CONTINETAL APARTMENTS.

THE BOLD FIELDS ARE REQUIRED - PLEASE DO NOT LEAVE BLANK

First Name
Last Name
Permanent Mailing Address
City
State
Zip Code + 4
E-mail Address
Permanent Home Phone (###) ###-####
Current Phone Number (###) ###-####
Age
Date of Birth
Social Security Number
Sex Male     Female
Year In School
Interested in High Speed Wireless Internet? Yes 
No
I Prefer a?

6 (Six) Person Apartment  
4 (Four) Person Apartment
Round House  
Studio

Apartment No. Request        
Vehicle Make
Vehicle Model
Vehicle Year
Vehicle Color
Vehicle License #
Vehicle State
Additional Information
Apartment reservations are determined by the earliest date of application.  Any apartment or roommate preference must be stated in the order of priority. If you would like to live with roommates who live by certain standards, please list them under them below under the Additional Information. Make sure you have read and understand the information listed on the Student Rent Guide. Your deposit must be received before your room can be reserved. Make checks out to Continental Apartments.