Renter Application Property InformationChoose a Unit*Choose a Unit89865 Greenwood Dr. Leaburg, OR89857 Greenwood Dr. Unit#: C Leaburg, OR89857 Greenwood Dr. Leaburg, OR750 Belmont St. Salem, OR750 Belmont St. NE Salem, OR673 W. 10th Ave. Eugene, OR54221 W. King Rd. Blue River, OR51194 Blue River Dr. Vida, OR49536 McKenzie Hwy Vida, OR48076 1st St. Oakridge, OR48074 1st St. Unit#: 2 Oakridge, OR48074 1st St. Unit#: 1 Oakridge, OR47923 Commercial St. Oakridge, OR47923 Commercial St. Oakridge, OR47352 2nd St. Westfir, OR46822 Sunset Ave. Westfir, OR4420 Catalina Eugene, OR4096 Langton Eugene, OR4092 Langton Eugene, OR332 W. 5th Ave. Eugene, OR332 1/2 W. 5th Eugene, OR3308 Admiral Eugene, OR3085 Delta Pines Eugene, OR3043 Wayside Loop Springfield, OR3015 Kentwood Dr. Eugene, OR295 W. 27th Ave. Eugene, OR295 27th Ave. Eugene, OR2635 Potter St. Eugene, OR2601 Woodstone Place Eugene, OR2528 Mountain Terrace Eugene, OR2333 Augusta St. Eugene, OR2100 Stonecrest Dr. Eugene, OR1926 Alder St. Eugene, OR1897 Garden Ave. Eugene, OR1805 Garden Ave. Unit#: 9 Eugene, OR1805 Garden Ave. Unit#: 8 Eugene, OR1805 Garden Ave. Unit#: 7 Eugene, OR1805 Garden Ave. Unit#: 6 Eugene, OR1805 Garden Ave. Unit#: 5 Eugene, OR1805 Garden Ave. Unit#: 41 Eugene, OR1805 Garden Ave. Unit#: 40 Eugene, OR1805 Garden Ave. Unit#: 4 Eugene, OR1805 Garden Ave. Unit#: 39 Eugene, OR1805 Garden Ave. Unit#: 38 Eugene, OR1805 Garden Ave. Unit#: 37 Eugene, OR1805 Garden Ave. Unit#: 36 Eugene, OR1805 Garden Ave. Unit#: 35 Eugene, OR1805 Garden Ave. Unit#: 34 Eugene, OR1805 Garden Ave. Unit#: 33 Eugene, Oregon1805 Garden Ave. Unit#: 32 Eugene, OR1805 Garden Ave. Unit#: 31 Eugene, OR1805 Garden Ave. Unit#: 30 Eugene, OR1805 Garden Ave. Unit#: 3 Eugene, OR1805 Garden Ave. Unit#: 29 Eugene, OR1805 Garden Ave. Unit#: 28 Eugene, OR1805 Garden Ave. Unit#: 27 Eugene, OR1805 Garden Ave. Unit#: 26 Eugene, OR1805 Garden Ave. Unit#: 25 Eugene, OR1805 Garden Ave. Unit#: 24 Eugene, OR1805 Garden Ave. Unit#: 23 Eugene, OR1805 Garden Ave. Unit#: 22 Eugene, OR1805 Garden Ave. Unit#: 21 Eugene, OR1805 Garden Ave. Unit#: 20 Eugene, OR1805 Garden Ave. Unit#: 2 Eugene, OR1805 Garden Ave. Unit#: 19 Eugene, OR1805 Garden Ave. Unit#: 18 Eugene, OR1805 Garden Ave. Unit#: 17 Eugene, OR1805 Garden Ave. Unit#: 15 Eugene, OR1805 Garden Ave. Unit#: 14 Eugene, OR1805 Garden Ave. Unit#: 13 Eugene, OR1805 Garden Ave. Unit#: 12 Eugene, OR1805 Garden Ave. Unit#: 11 Eugene, OR1805 Garden Ave. Unit#: 10 Eugene, OR1805 Garden Ave. Unit#: 1 Eugene, OR1805 Garden Ave. Unit#: 42 Eugene, OR180 W. 23rd St. Eugene, OR1670 Escalante St. Eugene, OR1442 18th Ave. Unit#: 9 Eugene, OR1442 18th Ave. Unit#: 8 Eugene, OR1442 18th Ave. Unit#: 7 Eugene, OR1442 18th Ave. Unit#: 6 Eugene, OR1442 18th Ave. Unit#: 5 Eugene, OR1442 18th Ave. Unit#: 4 Eugene, OR1442 18th Ave. Unit#: 3 Eugene, OR1442 18th Ave. Unit#: 24 Eugene, OR1442 18th Ave. Unit#: 23 Eugene, OR1442 18th Ave. Unit#: 22 , OR1442 18th Ave. Unit#: 21 , OR1442 18th Ave. Unit#: 20 Eugene, OR1442 18th Ave. Unit#: 2 Eugene, OR1442 18th Ave. Unit#: 19 Eugene, OR1442 18th Ave. Unit#: 18 Eugene, OR1442 18th Ave. Unit#: 17 Eugene, OR1442 18th Ave. Unit#: 16 Eugene, OR1442 18th Ave. Unit#: 15 Eugene, OR1442 18th Ave. Unit#: 14 Eugene, OR1442 18th Ave. Unit#: 13 , OR1442 18th Ave. Unit#: 12 , OR1442 18th Ave. Unit#: 11 Eugene, OR1442 18th Ave. Unit#: 10 Eugene, OR1442 18th Ave. Unit#: 1 Eugene, OR1442 18th Ave. Unit#: 1 Eugene, OR140 B St. Unit#: 140 Springfield, OR140 B St. Springfield, OR138 B St. Unit#: 138 Springfield, OR1331 High St. Unit#: 8B Eugene, OR1331 High St. Unit#: 8A Eugene, OR1331 High St. Unit#: 7B Eugene, OR1331 High St. Unit#: 7A Eugene, OR1331 High St. Unit#: 6B Eugene, OR1331 High St. Unit#: 6A Eugene, OR1331 High St. Unit#: 5B Eugene, OR1331 High St. Unit#: 5A Eugene, OR1331 High St. Unit#: 4B Eugene, OR1331 High St. Unit#: 4A Eugene, OR1331 High St. Unit#: 3B Eugene, OR1331 High St. Unit#: 3A Eugene, OR1331 High St. Unit#: 2B Eugene, OR1331 High St. Unit#: 2A Eugene, OR1331 High St. Unit#: 1B Eugene, OR1273 Hughes St. Eugene, OR1273 Hughes St. Eugene, OR1250 Sunny Dr. Eugene, OR1250 Sunny Dr. Eugene, OR1240 Bramblewood Lane Eugene, ORProperty Address* Address Line 1 Unit # City State / Province / Region ZIP / Postal Code Select type of unit desired (can select multiple options)UnfurnishedFurnishedTownhouse (two level)Sundries pack (dishes, cookware, bedding, small appliances $25/month)Wheelchair accesibleDesired move in date* Date Format: MM slash DD slash YYYY RentApplication Fee (non-refundable)Applicant InformationName* First Last Title/Suffix Dr. Jr. III Date of birth* Date Format: MM slash DD slash YYYY SSN/Passport #*Email* Phone*Current address* Address Line 1 Address Line 2 Unit # City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Current Residence* Rent Parent's home Own Other Why are you vacating current residence?*Other occupantsName(s) and birth date of all other occupants (all adults 18 years of age and over must submit a rental application and $40 screening fee).Have you been evicted in the last five years?* Yes No Have you ever been convicted of a crime?*Such as a drug related crime, sex-offense, a person crime, a crime involving financial fraud, or any crime that would reasonably threaten or adversely affect the property of a landlord or neighbor, or would threaten the health, safety or right to peaceful enjoyment of the premises by residents, the landlord, or someone employed by the landlord? Yes No Please indicate date, location, and charge(s).Attach documents to your application.Including income verification (check stubs, financial aid award letter, etc.). These items can also be submitted in person.Landlord's contact informationLandlord Name First Last Landlord's address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Landlord Email Landlord PhoneApplicant Previous Living HistoryPrevious Address* Street Address City State / Province / Region Previous Residence* Rent Parent's home Own Other How LongPhoneLandlordAdditional Living InformationNumber of vehicles*Annual parking pass $295 per year required at campus propertiesVehicle Make/ModelYearPlate #StateColorDo you have a pet? (can select more than one)*No petDog (0-25 lbs.)Dog (26-100+ lbs.)CatBirdSmall caged animal (mouse,rat,lizard, etc.)Employment informationEmployerSupervisor Name First Last Supervisor PhoneIncome source(s)*(click all that apply) Please note that no application will be denied due to legal income source, including Section-8 voucher, TANF, etc. Employment Financial Aid/Scholarship/Grants/Loans Housing subsidy (Section-8, HUD-VASH, etc.) Parents/Co-signer Other Total Monthly Gross Income*From All Sources (you must provide verification of all income)Personal ReferencesNearest Relative*Relationship*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*CommentsPlease see our "Rental Criteria" and "Fee Disclosure" documents.I certify the above information.* I agreeI have reviewed all rental requirements and disclosures and authorize Ducks Property Management to conduct a background check, including obtaining a consumer credit report, public records check, rental reference verification, and any other inquiries determined to be necessary. I understand that if any information contained in this application is determined to be false, it is grounds for denial of application and/or termination of tenancy.Digital SignatureApplicant*CAPTCHA Pay Application Fee