For office use only: Date received:
APARTMENT RENTAL FORM
A $20 listing fee for each apartment rental is required for non-Clark affiliated landlords.
Listings are published on the 1st and 15th 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:
LANDLORD NAME & ADDRESS:
DESCRIPTION OF RENTAL UNIT
Rent per month:
No. of Bedrooms:
Is there an active lodging house license on file for this property/unit? Yes
Please check any of the following that are included in your rental:
____ garbage disposal
____ laundry hookups
____ fire alarm system
____ security system
____ furniture included:
____ air conditioned
____ off-street parking
Pets allowed? Which?
List any other pertinent information that you would like published:
I prefer to rent to:
____ men only
____ women only
____ staff, faculty
____ graduate students
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)