*

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

Academic year *

Select the academic year you are interested in staying at the property. You may select more than one.

2025-2026

2026-2027

Name *

First Name

Last Name

Phone *

(###)

###

####

Home address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of student are you? *

Undergraduate

Graduate

Other

Emergency contact name *

First Name

Last Name

Emergency contact phone *

(###)

###

####

Name *

First Name

Last Name

Phone *

(###)

###

####

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 had an eviction notice served on you? *

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 filed a petition of bankruptcy? *

Yes

No