PLV Applicant E-Form

eserve your Park Lane Villa apartment suite today by clicking on the link below. Just steps away from Timeless Living, Park Lane Villa hopes to fulfill your wishes and accommodate your desires.

Where are you currently residing?
When are you expecting to move?
What would make residency at Park Lane Villa more attractive to you?
Size of apartment you're considering?
Floor: One Two Three Four Five Six	Preferred Apartment Number:
Number of bedrooms One Two Three	Parking: Outside Parking Need Covered Parking
How did you hear about Park Lane Villa?
Through University Circle, Inc. Referred by a friend Saw program ads Visited website Through my employer Other - Please Specify	Received your mailings Stopped by your booth at a University Circle event Through Case Western Reserve University Saw the sign Received your email
How would you best describe your current lifestyle  (Please check all that apply):
Urban professional Artist Musician Writer Corporate Career Humanities Physician Attorney Accounting Culture lover Arts Music Museums Theatre	Sales & Marketing Public Relations Healthcare Outgoing Quiet Active Other - Please Specify
Where are you currently employed?	Undergrad Grad student
Please provide us with your monthly income. (All information will be held with strict confidence)
If you are a student, what college do you attend?
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Please provide us with your contact information: Name:   Current Address:   Day Phone:   Evening Phone:   Cell Phone:   E-mail Address:   Best time of day to contact you: