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Apartment Interest Application

Please complete all sections of this application form. All information provided will be kept confidential. A member of our leasing team will follow up to assist you with the rest of the application process.

Which apartment complex are you applying for? (click all that apply)
Date of Birth
Month
Day
Year
Current address
How many bedrooms do you need?
Studio
1 bedroom
2 bedrooms
3 bedrooms
4+ bedrooms
Do you have pets?
No pets
Yes, I have pets

Eden
Gardens

GALILEE SENIOR LIVING

1500 Park Ave., Shreveport, LA 71103.

123-456-7890

Galilee Senior Housing is committed to Fair Housing and does not discriminate against any person because of race, color, religion, national origin, sex, familial status, disability, sexual orientation, gender identity or any specific classes protected by applicable laws.

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