State Tech Apartments

Non Roommate Application

Lease Application

If your desired unit is unavailable - Get added to our Waiting List HERE

Student First Name:

Student Middle Name

Student Last Name:

Student Email:

Student Cell Phone:

Student Date of Birth

Student Social Security #

Student Drivers License #

Drivers License State

Student Home Address:

City

State

Zip

Parent (Co-Signer) First Name:

Parent (Co-Signer) Middle Name:

Parent (Co-Signer) Last Name:

Parent (Co-Signer) Email:

Parent (Co-Signer) Cell Phone:

Parent (Co-Signer) Date of Birth:

Parent (Co-Signer) Social Secuirty #

Parent (Co-Signer) Drivers License #

Drivers License State

Lease Start Date:

Lease Term

Interest Location:

Pets - Additional Fees Apply

Roommate(s) / Notes:

We want to know your needs exactly so that we can provide the perfect solution. Let us know what you want and we’ll do our best to help!

Linn, MO 65051

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