Apartment Rental Form - Clark University

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For office use only: Date received:
Dates published:
APARTMENT RENTAL FORM
A $20 listing fee for each apartment rental is required for non-Clark affiliated landlords.
st
th
Listings are published on the 1
and 15
of the month (nearest business day if on the
weekend/holiday). The $20 fee entitles you to two consecutive publishes.
Please note this posting will be published on the Clark University RLH website as well.
CIRCLE ONE:
APARTMENT FOR RENT
SUBLET OR ROOMMATE WANTED:
RENTAL ADDRESS:
LANDLORD NAME & ADDRESS:
CONTACT PERSON:
PHONE: _____________________
DESCRIPTION OF RENTAL UNIT
Rent per month:
Deposits required:
Date available:
No. of Bedrooms:
Is there an active lodging house license on file for this property/unit?
Yes
No
Please check any of the following that are included in your rental
:
____ heat
____ garbage disposal
____ furniture included:
____ electricity
____ washer
____ air conditioned
____ water
____ dryer
____ garage
____ stove
____ laundry hookups
____ off-street parking
____ refrigerator
____ fire alarm system
Pets allowed? Which?
____ dishwasher
____ security system
List any other pertinent information that you would like published:
Please return this form with the $20 listing fee (if applicable) to:
Clark University, Office of Residential Life and Housing, 950 Main Street,
Worcester, MA 01610. 508-793-7453 (P) 508-421-3787 (fax)
All real estate advertised by Clark University is subject to the federal Fair Housing Act and M.G.L. ch. 151B,
which makes it illegal to advertise "any preference, limitation, or discrimination because of race, color,
religion, sex, handicap, familial status, or national origin, or age, ancestry, marital status, veteran's status,
receipt of a housing subsidy or receipt of a public benefit, or intention to make such preference, limitation or
discrimination."
We will not knowingly accept or permit any advertisement for real estate that is in violation of the law. All
persons are hereby informed that all dwellings advertised are available on an equal opportunity basis.

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