Military Housing Rental Application Form

Military Housing Rental Application Form
Apply for rental housing as a military service member or eligible applicant. Please complete all required fields to ensure your application is processed.
Applicant Full Name
First NameLast Name
Personal Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Military Status
Other (please specify)
Branch of Service
Rank or Grade
Requested Move-in Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Number of Household Members (including yourself)
List all household members (names and relationship to applicant)
Rental Unit Preference
Supporting Documentation (e.g., orders, proof of eligibility)
Cancelof
Emergency Contact Name and Phone Number
Should be Empty: