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Student Housing Application
Student Housing Application 2018
Applications typically take 1-2 business days to process.
Indicates required field
Date of Birth
Have you ever been convicted of a felony?
Have you ever been convicted of a misdemeanor in the past five years?
Have you ever been convicted of a sexual offense crime?
If answered “yes” to any of the questions above, please explain below.
Please give a detailed description of what caused you to mark yes to any of the above questions. What was the circumstance, what legal action was taken and how the issue was resolved.
Leasing Term Request
Desired Move in Date
Desired Term Length
Type of Room
Regular Room: $399 (will have roommate)
Private Room: $649 (no roommate)
Name of requested roommate- *if none leave blank*
If you have a friend who will be a resident at Central Plaza as well, you can request that person be placed in the same room as you. If you do not have a specific person simply leave blank.
Do you smoke?
To maintain a wholesome environment for the enjoyment of all residents, the use of tobacco products, alcohol, and drugs are prohibited inside Central Plaza Student Housing.
Do you have?
Any other medical information that you would like to share?
Release of Liability
I (applicant) release Central Plaza Student Housing, it's employees and affiliates, for incidents which may cause me physical, mental or monetary loss or damage, except in those incidents where Central Plaza Student Housing can be shown negligent and directly responsible for the loss or damage. Central Plaza Student Housing does not maintain insurance on any personal property of residents.
By signing below, I (applicant) give Central Plaza Student Housing permission to share my name and phone number with my potential roommate. I further give permission to Central Plaza Student Housing to conduct a criminal background check.
This is considered a digital signature and should include first, middle and last initials of applicant.
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Make rent payment
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930 E. 2nd st.
Edmond, OK. 73034
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