Rental Apartment You Are Applying For *

• 3A Bayley Ave -3 Bedroom/1 Bath
• 3B Bayley Ave -5 Bedroom/2 Bath

Proposed Roommates. (If none please write "none") *

Name *

First

Last

Address 1 *

Address 2

City/State/Zipcode *

Country *

Email *

Email

Confirm Email

Cell Phone # (no spaces or dashes) *

Other Phone #

Student Status *

• Full Time PSU Student
• Part Time PSU Student
• Not in School

Current Year of School

• Sophomore
• Junior
• Senior

Are You Employed *

• Yes
• No

Who Will Be Responsible For Paying Rent? *

• Parent
• Financial Aid
• Self

Parent Contact Info *

First

Last

Cell Phone # *

Parents Email *

Apply