Now accepting applications for the current Academic Year
Please complete the following form to apply for an accommodation at 21 Apartments
First Name:
Last Name:
Phone:
Current Address:
City:
State:
Zip:
Permanent Address:
City:
State:
Zip:
Email:
Driver's Lic. No.:
Gender:
---Choose One---
Male
Female
Special Medical needs/conditions:
Enrollment Status
---Choose One---
Freshman
Sophomore
Junior
Senior
Graduate
Other
Your Unit Type:
---Choose One---
1 Bedroom - 1 Bath
3 Bedroom - 3 Bath
4 Bedroom - 4 Bath A
4 Bedroom - 4 Bath B