Application

In the event of a medical emergency, I authorize The Webster Apartments and/or FOUND Study to release my medical contact information to health care providers as it may in their professional judgment be necessary to provide for my medical care. By signing this form, I understand and agree that I voluntarily release this emergency contact information. Further, I acknowledge that I am responsible for providing any updated emergency contact information to The Webster Apartments. This is a consent to release emergency contact information only. If you wish health care providers to have access to information regarding your directives or power of attorney or any other critical information, it is advised that you keep that information available in an emergency packet in your room or that you have such information on file with The Webster Apartments.

Applicant confirms that the information given in this form is true, complete and accurate. Applicant hereby authorizes verification of the above information, and applicant releases from liability or responsibility all persons and corporations requesting or supplying such information. Applicant acknowledges that false information here may constitute grounds for denial of this application, termination of right of occupancy, eviction from the premises and/or forfeiture of deposits.

Applicants requiring a credit report understand and acknowledge that as a condition of the application for a room, The Webster Apartments may obtain a consumer credit report that includes but is not limited to the applicant’s creditworthiness, or similar characteristics, employment and education verification, social security verification, criminal and civil history to the extent permitted by law, DMV records or any other public records and any other information bearing on applicant’s credit standing, financial capacity, character, general reputation and trustworthiness. Applicant hereby authorizes and permits The Webster Apartments to perform background checks and obtain information from credit reporting sources, past and present employers, banks and law enforcement agencies.

This application is preliminary only and does not obligate The Webster Apartments or its employees or agents to offer a lease, execute a lease, or deliver possession of any room or apartment. Applicant acknowledges that any tour or inspection of the building, the premises or the room therein is for informational purposes only and does not obligate The Webster Apartments or its employees or agents to offer a lease, execute a lease, or deliver possession any room or apartment.