BY COMPLETING AND SUBMITTING THIS FORM, I AGREE TO THE FOLLOWING:
All of the information above is correct to the best of my knowledge. I have read and understood that a $50 non-refundable application fee is due when I am interviewed after submitting this application. If a suitable match is found for me, I agree to pay St. Ambrose Homesharing the balance of 1/3 of one full month's rent due at the time of the match meeting, usually 2 weeks after move-in. In the case of nonpayment of program fees, I understand that I will be billed for all Homesharing services rendered to me.
CONSENT TO OBTAIN INFORMATION FORM
Please list the names of four people who have known you for AT LEAST FIVE YEARS that can serve as a personal reference for you. Include a former roommate or landlord and a combination of the following - one family member, professional person, associate, clergy, or friend.