Student Housing Request | Student & Family Housing | Altoona Development

Rental Unit Information

Unit for which you are applying*

Student Information

Student Name*

First Middle Last

Student Primary Phone*

Student Primary Phone Type*

Mobile
Home
Work

Student Alternate Phone

Student Alternate Phone Type*

Mobile
Home
Work

Student Email*

Home Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Co-Signor Information

Altoona Development Requires a Parent/Guardian Co-Signor for all Student Housing Leases

Co-Signor Name*

First Middle Last

Co-Signor Primary Phone*

Co-Signor Primary Phone Type*

Mobile
Home
Work

Co-Signor Alternate Phone

Co-Signor Alternate Phone Type*

Mobile
Home
Work

Co-Signor Email*

E-Check/ACH Direct Payment

Altoona Development requires E-Check/ACH Direct Payment enrollment for all Student Housing Leases. With this program, your monthly payments will be deducted on the 1st Day of each month from the Checking Account you provide to us. No payments will be processed as part of this submission. We will only use this information to compile a full lease that contains our E-Check/ACH Form. If this information is not submitted now, it will have to be hand-written into the lease prior to being accepted as a valid lease by Altoona Development. The ONLY exception to this requirement if full-payment of the contract amount at lease signing.

Bank Name*

Name on Account*

Type of Account*

Personal Checking
Personal Savings
Business Checking
Business Savings

Routing Number (9 digits)*

Account Number*

Additional Information

Any additional notes or information you'd like to send to Altoona Development: