Renter Application Property InformationChoose a Unit*Choose a Unit99 E 1st St Coquille, OR97 E 1st Unit#: 5 Coquille, OR97 E 1st Unit#: 2 Coquille, OR97 E 1st Unit#: #1 Coquille, OR95 E 1st Coquille, OR918 CEDAR DRAIN, OR915 Cascade Dr. Lebanon, OR91293 Hedge Lane Unit#: Back House Coos Bay, OR905 Ingersoll Ave. Coos Bay, OR904 1/2 Whiteaker St. Eugene, OR89865 Greenwood Dr. Leaburg, OR89857 Greenwood Dr. Unit#: C Leaburg, OR89857 Greenwood Dr. Leaburg, OR89324 Old Coburg Rd Eugene, OR85535 Jasper Park Rd. Pleasant Hill, OR855 Myrtle Ave. Reedsport, OR820 B Springfield, OR750 Belmont St. Salem, OR750 Belmont St. NE Salem, OR750 10th Place Room#: A Junction City, OR750 10th Unit#: B Junction City, OR673 W. 10th Ave. Eugene, OR658 Cinderella Loop Eugene, OR658 Oakdale St Springfield, OR658 Oakdale St Springfield, OR64 Adams Coquille, Oregon63760 Mullen Coos Bay, OR63758 Mullen St. Coos Bay, OR63758 Mullen Coos Bay, OR631 Chase St Eugene, OR620 33rd Ave Eugene, OR619 Ash St. Unit#: 4 Myrtle Point, OR619 Ash St. Unit#: 3 Myrtle Point, OR619 Ash St. Unit#: 2 Myrtle Point, OR619 Ash St. Unit#: 1 Myrtle Point, OR607 Granite Place Springfield, OR5913 Avalon St. Eugene, OR588 38th St. Springfield, OR55778 McKenzie Hwy Blue River, OR55774 McKenzie Hwy. Blue River, OR54221 W. King Rd. Blue River, OR5274 Wales Dr Eugene, OR5244 Donohoe St. Eugene, OR5157 Trevon St Eugene, OR51287 Hatfield Rd. Unit#: C Myrtle Point, OR51287 Hatfield Rd. Unit#: B Myrtle Point, OR51287 Hatfield Rd. Unit#: A Myrtle Point, OR51287 Hatfield Myrtle Point, OR512487 Hatfield Unit#: C Myrtle Point, OR51194 Blue River Dr. Vida, OR510 Collier Unit#: B Coquille, OR510 Collier Unit#: A Coquille, OR49536 McKenzie Hwy Vida, OR494 Wilkie St Eugene, Oregone4875 Whiteaker St. Eugene, OR48189 1st Oakridge, 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, OR4724 Spring Meadows Ave. Eugene, OR46822 Sunset Ave. Westfir, OR4554 Woodsboro St Eugene, OR4463 Hilton Dr Eugene, OR4461 Hilton Dr Eugene, OR444 Elm St. Coquille, OR444 Elm St. Unit#: 1/2 Coquille, OR4420 Catalina Eugene, OR440 Maxwell Rd Unit#: 31 Eugene, OR435 Ash St. Room#: G & H Myrtle Point, OR435 Ash St. Room#: F Myrtle Point, OR435 Ash St. Room#: C Myrtle Point, OR435 Ash St Room#: D Myrtle Point, OR435 Ash St Room#: B Myrtle Point, OR435 Ash St Room#: A Myrtle Point, OR435 Ash St Room#: E Myrtle Point, OR431 Stonewood Dr Eugene, OR425 Archie Dr. Eugene, OR420 Simpson Ave North Bend, OR4096 Langton Eugene, OR4092 Langton Eugene, OR4015 Torrington Ave Eugene, OR3994 F Springfield, OR39510 Little Fall Creek Rd. Unit#: 2 Fall Creek, OR3940 18th Ave. Eugene, OR3815 Century Dr. Eugene, OR3560 Kincaid St. Eugene, OR34825 Seavey Loop Rd. Eugene, OR33803 Row River Rd Cottage Grove, Oregon335 Exeter Eugene, OR332 W. 5th Ave. Eugene, OR332 Centennial Springfield, OR332 1/2 W. 5th Eugene, OR3308 Admiral Eugene, OR317 Red Hill Glendale, OR315 Red Hill Rd Glendale, OR3133 19th AVE Albany, OR3085 Delta Pines Eugene, OR3043 Wayside Loop Springfield, OR3015 Kentwood Dr. Eugene, OR29866 Carol Ave. Room#: 6 Eugene, OR29866 Carol Ave. Eugene, OR295 W. 27th Ave. Eugene, OR295 27th Ave. Eugene, OR2858 Fiesta Springfield, OR2692 U ST Springfield, OR269 N Cammann Coos Bay, OR2676 U St Springfield, OR2635 Potter St. Eugene, OR2601 Woodstone Place Eugene, OR2595 Sage Eugene, OR255 57th St Springfield, OR2528 Mountain Terrace Eugene, OR2520 Cleveland St. Eugene, OR2517 Quebec St Eugene, OR251 Major Dr Glendale, OR2413 Mountain Terrace Eugene, OR2333 Augusta St. Eugene, OR2100 Stonecrest Dr. Eugene, OR1941 19th Room#: 1, 2, 3 EUGENE, OR1926 Alder St. Eugene, OR1901 Garden Unit#: Suite 107 Eugene, OR1901 Garden Ave. Unit#: Suite 113 Eugene, OR1901 Garden Ave. Unit#: Suite 105 Eugene, OR1901 Garden Ave. Unit#: Suite 104 Eugene, OR1901 Garden Ave. Unit#: 110 Eugene, OR1901 Garden Ave. Unit#: 105-107 Eugene, OR1901 Garden Ave. Unit#: 101-104 Eugene, OR1897 Garden Ave. Eugene, OR1892 Willamette St. Eugene, OR1892 Willamette St. Eugene, OR189 C ST Drain, OR189 C Ave. Drain, OR1854 Giles Roseburg, OR1852 Giles Roseburg, 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. #161805 Garden Ave. Unit#: 42 Eugene, OR180 W. 23rd St. Eugene, OR1670 Escalante St. Eugene, OR1633 S Street Springfield, OR1604 Hamlet Ln Eugene, OR155 Hiatt St. Lebanon, 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, OR1442 18th Unit#: 5 Eugene, OR1434 Fetters Loop Eugene, OR140 B St. Unit#: 140 Springfield, OR138 B St. Unit#: 138 Springfield, OR1365 Sunset Lane Sutherlin, OR1336 Lakeview Ave. Klamath Falls, OR1336 Lakeview Ave. Klamath Falls, 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, OR1320 Menlo Loop Springfield, OR1273 Hughes St. Eugene, OR1273 Hughes St. Eugene, OR127 Pacific Ave Glendale, OR1250 Sunny Dr. Eugene, OR1250 Sunny Dr. Eugene, OR125 Williams St. Lebanon, OR125 Williams Lebanon, OR1240 Bramblewood Lane Eugene, OR1238 Bramblewood Lane Eugene, OR1232 Maryland Myrtle Point, OR1232 Maryland Ave. Unit#: 2 Myrtle Point, OR1232 Maryland Ave. Unit#: 1 Myrtle Point, OR121 Williams St. Lebanon, OR1137 Dixon Unit#: B Corvallis, OR1137 Dixon St. Corvallis, OR1137 Dixon St. Corvallis, OR1124 Woodside Unit#: G Eugene, OR1124 Woodside Dr. 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* MM slash DD slash YYYY Rent Application Fee (Non-refundable)$50 Standard Fee Per Adult$10 City of Eugene Reduced Fee Per AdultApplicant InformationName* First Last Title/Suffix Dr. Jr. III Date of birth* 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.Max. file size: 248 MB.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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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 Long PhoneLandlord Additional Living InformationNumber of vehicles*Annual parking pass $295 per year required at campus propertiesVehicle Make/Model Year Plate # State Color Do 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 informationEmployer Supervisor 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* CAPTCHAList Pay Application Fee