Leasing Application

You can submit a rental application by completing the form below.  If you have any questions or would like to schedule a time to sign a lease, please call us at 217-359-6108.

*JSM requires a lease application before we can schedule a lease signing appointment.
*JSM will no longer be accepting cash payments.

Note: * denotes required field

Background Information

* Campus / Location you are applying for

* Name ( first, middle, last )

* Social Security Number ( 999-99-9999 )
I have no Social Security Number
- -

?
Why do we need your SSN?
Your social security number is sent via a secure connection and used solely to verify your identity and determine credit worthiness; it will not be used for any other purposes.

* Driver's License Number
I have no Driver's License Number

* Date of Birth ( mm/dd/yyyy )
/ /

Current Information
?
If you do not have a US address, please enter in a friend or family members US address or the address of the apartment you are interested in.

* Current Address (U.S. address only)

* City, State, Zip, Country
,

* Cell Phone ( (999) 999-9999 )
()  -

JSM communicates with residents primarily via email.
Please ensure your primary email is entered here correctly

* Email

* Secondary Email

Permanent Information
?
If you do not have a US address, please enter in a friend or family members US address or the address of the apartment you are interested in.

* Permanent Address (U.S. address only)

* City, State, Zip, Country
,

* Phone ( (999) 999-9999)
()  -

School Information

* Are you a student?
No Yes

Year

School

Major
Emergency Information

* Emergency Name (In the U.S. Please)

* Relationship

* Address (U.S. address only)

* City, State, Zip
,

* Email

* Phone ( (999) 999-9999 )
()  -

* Cell Phone ( (999) 999-9999 )
()  -

Verification Information

* Type of current residence?
Landlord
Dorm
Fraternity
Sorority
Parents
Other

Other

If currently renting from landlord.

* Name

* Office Address (U.S. address only)

* City, State, Zip
,

* Phone ( (999) 999-9999 )
() -

Survey

* How did you hear about JSM? (check all that apply)
Former or Current JSM Resident
U of I College Pads
Sign on Building
Friends or Family
Housing Fair
Search Engines
JSM Vehicles
Other:

Credit/Reference Check Permission

Click here to grant JSM permission to conduct a credit check and/or previous residence reference check.
* This is required to process your application.
I hereby give JSM permission to perform a Credit/Reference Check using the information supplied on this lease information form.