Rental Application for Urban Studio Apartments
Downtown workforce efficiency apartments for single persons *Must make 50-80% area median income or less annually to qualify.
Mail, fax or hand-deliver this application to:
Women in Construction Co, LLC 114 North 1st Avenue West Duluth, MN 55802 Phone: 218-733-1451 Fax: 218-733-0129
Name_____________________________________ Phone (H)________________(W)_________________
Present Address ______________________________________________________ Apt. No.___________
City_______________________ State_______ Zip___________
Soc. Sec. #_________________________ Date of Birth_______/_______/__________
Gender ____________ Race/Ethnicity*:_______________________
For statistical purposes only, we report the race and ethnicity of applicants to different funding sources.
You are not required to answer, nor does your answer affect your position on our waiting list or your eligibility for housing.
1. Current Landlord(s)_________________________________________
2. Former Landlord(s)_________________________________________
3. Length of time at present address _______________________
4. Length of time at former address _______________________
Have you ever been convicted of a felony? If yes, explain. _____________________
1. What is your current monthly income? ___________________________
2. Please check all sources of household income that you receive.
___SSI ___Employment ___GA Other (explain)_________________
Current Employer Name_______________________________________
Hrs worked per week________ Hire Date_________________
1. References: Please provide one personal reference (a friend or family member) and one professional
reference (such as an employer, coworker, doctor, or staff member of an agency you've worked with)
**False information is grounds for non-entry or termination of lease.
Urban Studio Apartments is an Equal Housing Opportunity
We will add your name on the waiting list for Urban Studio Apartments as soon as we recieve this application.