ALL APPLICATIONS MUST BE ACCOMPANIED BY A NON-REFUNDABLE $40 SINGLE OR $50 JOINT APPLICATION FEE.  
All fields marked with * are required
Name of Primary Applicant: (First Last)
*  
Social Security Number of Primary Applicant:
 -  - *    
Will there be a co-applicant?  Yes

Name of Co-Applicant: (First Last)
*
Social Security Number of Co-Applicant:*
 -  - 
Date of Application:(MM/DD/YYYY)
*
Date Housing is Needed:(MM/DD/YYYY)
Choose a location:
*

Then choose from the following:
*

Directions to Applicant: Answer all questions on this application. Enter ''None'' or "N/A" for those questions which do not apply to you. Include all members who you anticipate will occupy the unit, at least 50% of the time during the next 12 months. For financial information, please provide the names and addresses of people who can verify the information you provide. All adults must sign/date the application and sign a Release of Information form when they meet with a housing representative.


Billing Information for Application Fee
Card Information
First Name
Last Name
Card Number
Security Code
Exp Date (mm/yyyy):
*  
*  
*  
*  
*  
Billing Address
Street Address:
City:
State:
Zip:

Email Address
*  
*  
*  
*  

*  


CURRENT PLACE OF RESIDENCY/EMERGENCY CONTACT
Current Address
Street Address:
City:
State:
Zip:
*  
*  
*  
*  
Current Telephone #
Home:
Work:
Message:
*  
*  
*
Emergency Contact
Street Address:
City:
State:
Zip:
Home Telephone:
Work Telephone:
*  
*  
*  
*  
*  
*


PART 1: FAMILY COMPOSITION
NAME ALL PEOPLE TO OCCUPY HOME:
  FIRST, MIDDLE, LAST. PLEASE ADD THE DATE OF BIRTH TO THE SECOND FIELD
1.
2.
3.
4.
5.
6.












   
*
Do you expect a change in family size in the future?   *  
If so, explain change and provide expected date of change.
Are there any absent family members?
If so, provide name and date of return. Name:   Date of Return: 
Current Marital Status:



Would you or any members of your household benefit from a handicapped-accessible unit? * 
   If so, explain:
  


PART 2: INCOME i.e. Job, Pension, SS, etc.
* Required 
Type of Income Person Recieving Income Name of Source Address, City, State, Zip, Phone number Amount Recieved per week/month/year
*  *  *  *  * 


PART 3: ASSETS i.e. checking, savings, cd's
* Required
Type of Account Name on Account Name of Financial Institution Address, City, State, Zip, Phone number Account Number
*  *  *  *  * 


PART 4: LANDLORD REFERENCE
A. Present Landlord
Name:
From/To:
Address:
City:
State:
Zip:
Phone:






Previous Landlord
Name:
From/To:
Address:
City:
State:
Zip:
Phone:






Previous Landlord
Name:
From/To:



PART 5: GENERAL INFORMATION
a. Have you or your spouse/co-applicant ever had your rental assistance terminated or been evicted or otherwise involuntarily removed from rental housing due to fraud, non-payment of rent, failure to cooperate with recertification procedures, or for any reason?
If yes, please explain:
*  
b. Have you or anyone in your household ever been convicted of a felony?
If yes, please explain:
*  
c. Have you ever filed bankruptcy?
If yes, please explain:
*  
d. Have you ever recieved rental assistance or lived in subsidized housing?
If yes, please explain:
e. Will this be your only place of residence?
If no, please explain:
f. Do you have any pets?

Cambridge Management Corporation Pet Policy allows
one cat. There is a non-refundable pet fee.
*  
g. Does anyone in your household smoke?

Cambridge Management Corporation's communities are non-smoking.
*  
h. Has anyone in your household used an alias or had their named changed (e.g. maiden)?
If so, who, and what was their prior name?
i. Have you or any member of your household ever made a prior application to this office?
If so, when and under what name?
j. Do you or any member of your household own any real estate?
If so, where, and what is the assessed value?
k. Some Funding for this site comes from the Ohio Department of Development, which requires us to report the following statistics to determine the degree to which its programs are utilized by minority families:
Please check the one that best applies to the Head of Household:*





Other: 
How did you hear about our property?*








Other: 




By clicking the check box below, I certify that all application information is true and complete to the best of my knowledge. I understand that I will be required to provide third-party documentation of the above information at such time as I may be notified by the Cambridge Management Corporation. Applicant understands and agrees, as indicated by checking the box below, that deposit will be forfeited if applicant fails to lease home by date CMC establishes home is available for lease.