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.  

  HOUSING/LANDLORD INFORMATION:

1. Current Landlord(s)_________________________________________ 

Phone____________________

2. Former Landlord(s)_________________________________________ 

Phone____________________

3. Length of time at present address _______________________

4. Length of time at former address _______________________  

BACKGROUND INFORMATION:

Have you ever been convicted of a felony? If yes, explain. _____________________

_________________________________________________________________

FINANCIAL INFORMATION:

1. What is your current monthly income? ___________________________

2. Please check all sources of household income that you receive.

___SSI   ___Employment   ___GA   Other (explain)_________________

EMPLOYER INFORMATION

Current Employer Name_______________________________________

Address___________________________________________________

Position___________________________________________________

Phone________________________   Supervisor__________________

Hrs worked per week________   Hire Date_________________

ADDITIONAL INFORMATION

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)

Name________________________________(personal)

Address_______________________________   Phone_______________

Name________________________________(professional)

Address_______________________________   Phone_______________

**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.