Welcome to The Village at Lamar

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Village At Lamar Housing Application Form

To apply for housing at Village At Lamar , submit the following application online. Upon receipt of your payment and application, you will be sent a lease agreement. (You will be contacted after submitting this application for payment information). Your space is only reserved upon signature of the lease by all parties, including the resident, guarantor and Village At Lamar. Any questions, call 409-225-5101.

Fields marked with an * are required.

Full Name:

Address:

# *
Enter the numerical part of your address in
the first field, for example, enter 123 for '123 Main St.'

City:

State:

Zip:

Phone:

Fax:

Cell Phone:

Email:

DOB:

Drivers Lic. No.:

State of issue:

Sex:

List any special medical
needs or concerns:

Enrollment Status as of Spring 2010
Freshman Sophomore Junior Senior Graduation Other

A Guarantor is required for all applicants age 23 or younger. Guarantor Information is on the lease.

Final approval is subject to signing of lease agreement.By submitting this form, I agree that you may conduct a credit, background and reference check on me. Acceptance of this application does not assure a room reservation. Space is reserved upon signing of a separate lease agreement by all parties concerned before the property reaches full capacity. I hereby authorize Village At Lamar to use any consumer reporting agency, credit bureau or other investigative agencies employed by such to base my application on.

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