Brand new, all-student housing in the heart of downtown Santa Cruz

apply !

We are now accepting applications for the ‘24-’25 year. Please note, we have space available in double rooms only. Monthly rent is $1195 per student (double occupancy room) plus utilities. All leases are annual. We may have availability over the summer - please note on your application if interested.

Application

Applicant Information

Applicant Name

First Name

Last Name

Applicant Date of Birth

YYYY

Applicant Social Security Number

Applicant Address

City

State

Zip Code

Phone

Country

(###)

###

####

Applicant Email Address

Target Move-In Date

YYYY

Co-Signer Information

Co-Signer Name

Co-Signer

First Name

Last Name

Co-Signer Date of Birth

YYYY

Co-Signer Social Security Number

Co-Signer Address

City

State

Zip Code

Co-Signer Phone Number

(###)

###

####

Co-Signer Email Address

Employment Information (Co-Signer)

Co-Signer Employer Name

Co-Signer Occupation

Co-Signer Employer Address

Employer Phone

(###)

###

####

Name of Supervisor

First Name

Last Name

Co-Signer Monthly Income

Reference (Applicant)

Name - Reference

First Name

Last Name

Relationship - Reference

Address - Reference

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone - Reference

(###)

###

####

Emergency Contact Information

Name - Emergency Contact

First Name

Last Name

Relationship - Emergency Contact

Phone - Emergency Contact

(###)

###

####

Credit Card & Billing Information

Please note: If the CVC code on the back of your credit card is not correct or the Billing Zip Code does not match your credit card billing address, your application will not go through.

Card Holder's Name

First Name

Last Name

Card Number

Expiration Date - ( xx/xxxx)

Card CVC / CVC2

Card Billing Zip Code

Agreement & Authorization

Signature

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a NON-REFUNDABLE $35 CREDIT CHECK FEE to cover the cost of processing my application and I am not entitled to a refund even if I do not get the apartment. If using a co-signer, an additional fee of $35 will be charged for background & credit check processing for co-signer, ($35 for applicant background/credit check, plus $35 for co-signer background/ credit check).

Today's Date

YYYY

apply !

location

713 Pacific Avenue, Santa Cruz

Contact

info@laurelonpacific.com

LEGAL

Policies

Terms & Conditions

Apply !

apply !

location

713 Pacific Avenue, Santa Cruz

Contact

info@laurelonpacific.com

LEGAL

Policies

Terms & Conditions