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Application to live at Park Place Apartments
Personal Information:
Last Name:
D.O.B: / /  
Social Security #:
Home Phone:
Cell Phone:
Have you ever been convicted of a crime: No Yes
If yes, please explain:
Have you ever been charged with a crime: No Yes
If yes, please explain:

State: Zip:

Parent/Guardian Information:
State: Zip:

Previous Tenants:
Previous Room Number:

Other: (Note: All rents include utilities.) Read FAQ No. 3 about utility allotment.
I want a:
Shared room with roommate. No washer/dryer ($1270/sem)
I want a:
Shared room with roommate and washer/dryer ($1370/sem)
I want a:
Giant shared room with roommate in our largest apartment. No washer & dryer (With your own walk in closet) ($1380/sem)
I want a:
Private room, not on park (No washer/dryer) ($1390/sem)
I want a:
Private room on the Park w/bar and stool seating. (No washer/dryer) ($1470/sem)
I want a:
Private room on the Park. (No washer/dryer) (larger units with kitchen table and chairs rather than bars w/stools) ($1515/sem)
I want a:
Private room with washer/dryer. (larger units with kitchen table and chairs rather than bar w/stools, black appliances, Building O, not on park) ($1575/sem)
I want a:
Private room on the Park with washer/dryer. (larger units with kitchen table and chairs vs. bars w/stools, black appliances) ($1595/sem)
I want a:
Private room with washer/dryer (larger units w/kitchen table/chairs vs. bars w/stools, black appliances, upgraded furniture/flooring.) (NEWEST UNITS Buildings P, J and K NOT on park, with granite counter tops. ($1625/sem)
I want a:
Shared room all to yourself without washer and dryer ($1775/sem)
I want a:
Shared Room all to yourself with washer and dryer ($1825/sem)
I wish to start occupancy in the: Year:
I prefer the following individual as my roomate (If you have requested a private room, this will be the person you share a connected bathroom with).:
I prefer the following individuals (other than roomate)
to live in my apartment:
(Roomate and apartment assignments are at discretion of Landlord.)

What are you looking for in a roomate or others who are living in your apartment?

When roomate assignments are made, you will receive an email with phone numbers and email addresses for your roommates. If you do not want us to share this information with your roommates please click this box:

Tell us about your likes and dislikes. Also, if you were referred here by someone, please list their name here.
How did you find out about us?



  2. No overnight guests. (Guest must be out by 12:00 midnight Sunday-Thursday, and 1:30 am Fridays and Saturdays).

  3. Fall rent is due at time of move-in or August 1st, (whichever comes first). Spring semester rent is due by December 1st. Call for arrangements with scholarship or student aid. If you want to pay in installments your parents must live in Utah (unless you are on financial aid) and must sign a credit card and parent guaranty agreement.

  4. Cost of any damages caused by student will be paid by student.

  5. No pets.

  6. No paintball or soft air pellet guns. Anyone caught with such a device will receive a $100 fine. Anyone who reports a tenant who is using such a device will receive a $50 reward.

  7. Bicycle racks are provided for each building. No bicycles are permitted in the Apartments.

  8. Residents may not use tape (or self-adhesive products) on the walls.

  9. Those signing up for the fall agree to stay also for spring semester. If you leave Spring semester you must either pay the rent or find a substitute tenant. We will discount the contracts to make them easier to sell for those leaving to serve religious missions

  10. Additional rules are contained in your lease agreement

By submitting this application and sending in your deposit of $250.00 a place will be reserved for you for up to 10 days, as long as there is still space available. To keep your reservation you must pay semester rent (or your first installment) by Austust 1st, or call or email to make arrangements if you will be late. Otherwise, your place may be given to another. If you ask for a type of room that is filled up you will be given another room assignment. Call and pay your deposit with a Credit Card or mail your deposit to:

Park Place Apartments
30 North 400 East
Ephraim City, UT 84627
(435) 283-6143

By pressing submit, you agree to abide by the above rules, to send a deposit check within 10 days, and to sign a lease for the time period and rental amount set forth above. Your lease will by emailed to you for electronic signature by July 1st (for Fall Semester) or December 1st (for Spring Semester). Your roommate assignments will be emailed to you about a month later. Should you cancel your application, your deposit, less a $25 processing fee, will only be refunded as long as the cancellation notice is received in writing or by email by June 1st if your are applying for Fall semester or by Oct. 1st if you are applying for Spring semester. I understand that Park Place may reject this application for any reason it deems proper.

Check here if you want to pay in installments. If so, CLICK HERE TO DOWNLOAD a parent credit card authorization and guaranty agreement to be signed and notarized--not available if your parents live out of state or do not qualify financially. Otherwise your entire rent is due on August 1st (for Fall Semester) or December 1st (for Spring Semester). No exceptions. An additional charge of $50 per semester applies if you choose to pay in installments.