Renter Application Property InformationChoose a Unit*Choose a Unit97420 Hedge Lane Coos Bay, OR915 Cascade Dr. Lebanon, OR91293 Hedge Lane Unit#: Back House Coos Bay, OR905 Ingersoll Ave. Coos Bay, OR89865 Greenwood Dr. Leaburg, OR89857 Greenwood Dr. Unit#: C Leaburg, OR89857 Greenwood Dr. Leaburg, OR855 Myrtle Ave. Reedsport, OR750 Belmont St. Salem, OR750 Belmont St. NE Salem, OR673 W. 10th Ave. Eugene, OR63760 Mullen Coos Bay, 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, OR55778 McKenzie Hwy Blue River, OR55774 McKenzie Hwy. Blue River, OR54221 W. King Rd. Blue River, OR5274 Wales Dr Eugene, OR5244 Donohoe 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, 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, OR4463 Hilton Dr Eugene, OR4461 Hilton Dr Eugene, OR444 Elm St. Coquille, OR444 Elm St. Unit#: 1/2 Coquille, OR4420 Catalina Eugene, OR4096 Langton Eugene, OR4092 Langton Eugene, OR3560 Kincaid St. 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, OR3036 Guadalupe Way Eugene, OR3015 Kentwood Dr. Eugene, OR29866 Carol Ave. Room#: 6 Eugene, OR29866 Carol Ave. Eugene, OR295 W. 27th Ave. Eugene, OR295 27th Ave. Eugene, OR2635 Potter St. Eugene, OR26330 Fern Ridge Dr. Unit#: A Junction City, OR2601 Woodstone Place Eugene, OR2528 Mountain Terrace Eugene, OR2520 Cleveland St. Eugene, OR2333 Augusta St. Eugene, OR2100 Stonecrest Dr. Eugene, OR1926 Alder St. Eugene, OR1901 Garden Ave. Unit#: Suite 113 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 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, 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, OR1273 Hughes St. Eugene, OR1273 Hughes St. Eugene, OR1250 Sunny Dr. Eugene, OR1250 Sunny Dr. Eugene, OR125 Williams St. Lebanon, OR125 Williams Lebanon, OR1240 Bramblewood Lane Eugene, OR1232 Maryland Ave. Unit#: 2 Myrtle Point, OR1232 Maryland Ave. Unit#: 1 Myrtle Point, OR121 Williams St. Lebanon, OR1137 Dixon St. Corvallis, OR1137 Dixon St. Corvallis, 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) Applicant 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 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 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* CAPTCHA Pay Application Fee