Disclosures *

I have read, understood, and agreed to the Massachusetts Mandatory Licensee-Consumer Relationship Disclosure and Rental Brokerage Fee Disclosure.

Select this box to sign the disclosures

Academic Year *

2025-2026

2026-2027

Name *

First Name

Last Name

Phone *

(###)

###

####

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Status *

Undergraduate

Graduate

Other

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Co-Signer Name *

First Name

Last Name

Co-Signer Phone *

(###)

###

####

Co-Signer Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you or the applicant ever failed or refused to pay any rent when due? *

Yes

No

Have you or the applicant ever been served an eviction notice? *

Yes

No

Has a landlord ever claimed that you or the applicant damaged their property? *

Yes

No

Within the past seven years have you or the applicant filed a petition of bankruptcy? *

Yes

No