LANDLORD LISTING FORM
T
he listing of a facility does not constitute approval, disapproval, or recommendations on the part of Clarion University of
Pennsylvania. Arrangement and responsibility for rental contracts is between individual tenants and landlords. The off-campus
housing list is only a record of possible rentals within the surrounding community, and is a service to our students in hopes of
making the task of finding a place to live a little easier. Listing will remain active until either Clarion University of Pennsylvania or
landlord terminates.
COMPANY NAME: _______________________________________________________________________________
PRIMARY CONTACT: ____________________________________________EMAIL: ___________________________
OFFICE ADDRESS: ________________________________________________________________________________
TELEPHONE: _____________________ ADDRESS OF FACILITY: ___________________________________________
TYPE OF FACILITY: ___________________________________________
__ HOUSE __ APARTMENT __ TOWNHOUSE __ TRAILER
To
tal # of Rooms: ____ # of Bedrooms: ____ # of Students Facility Can Accommodate: ____
Does rental have private entrance? _______ Does rental have more than one exit? _______
Does the facility have working smoke detectors? _______ How many? ____
Does the facility have working fire extinguishers? _______ How many? ____
Does landlord have rental permit? ______ Valid until: ___________________
Specific terms of lease: ____________________________________________________________________
Is copy of lease provided to tenant? _______
Rent per student: $_______per month/$_______per semester Deposit required: $_______
Utilities included: ___ Electric ___ Gas ___ Water ___ Garbage ___ Cable/Internet
Ot
her Information: _______________________________________________________________________
Clarion University of Pennsylvania is committed to a policy of nondiscrimination in housing for students, faculty, and staff, and
cannot accept listings unless the owners agree to comply with the Pennsylvania Human Relations Acts, as well as the all Federal,
State, and Local regulations concerning the rental of the above-described property.
I am in
compliance with the above-mentioned regulations.
____________________________
__________________________________________________________
Please type your name above Date
