Student Housing Application

"Find Your Home Away from Home with Horp Premier's Student Housing"

Complete Your Application with Confidence: Fill Out Your Information to the Best of Your Ability.

Your name*

Your email*

Phone Number:*

Permanent Address:*

Current Address (if different):

Student ID Number

Date of Birth:*

Gender:*

SSN #*

Institution:*

Major/Program:*

Housing Preferences:*

Shared Space

Single Space

Summer Space

Lease Term (e.g., 12 months):*

Fall Semester

Spring Semester

Summer

Furnished or Unfurnished:*

Furnished

Unfurnished:

Preferred Move-In Date:*

Emergency Contact:*

Relationship:*

Address:*

Phone Number*

Email Address:*

Short Reference 1: Name*

Short Reference 1: Phone Number*

Short Reference 1: Relationship*

Do you have any special accommodation needs?*

Yes

No

Additional Information:*

Pets / Yes

Pets / No

Smoke ?*

Yes

No

Agreement That All Information Is Accurate**

This Agreement shall be governed by the laws of the state of North Carolina.. Application Fee $150 Non-Refundable.*

Message*

info@horppremier.com

803-431-5735