LCAD Off-Campus Lessor Form Name First Last Phone(Required)Email(Required) Would you like LCAD to provide your telephone number to students interested in your listing?(Required) Yes No Preferred Method of Contact(Required) Phone Email Full Address of Property(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Location Privacy Preference(Required) Please only provide the ADDRESS (number and street) to the students. Please only provide the CITY (city, state) to the students. Please provide BOTH the ADDRESS AND CITY to the students. Please DO NOT provide the address nor city to the students. Do you accept pets? Yes - no additional deposit required Yes - additional deposit required No What date will the listing be available?(Required) MM slash DD slash YYYY What is the length of the lease? What is the monthly rental cost?(Required) What is the security deposit amount?(Required) Is the property a house or apartment?(Required) House Apartment Other Is the available space a shared room or private room?(Required) Private Shared Is the bathroom shared or private?(Required) Private Shared Is the room furnished?(Required) Yes No Other If the room is furnished, what items are included? Are utilities included in the monthly rent? Yes No Other If utilities are not included in the monthly rent, please explain how utilities will be managed. Please provide any additional information about the rental agreement or property.All information regarding off campus housing should be assessed carefully before making any legal commitments. Any references made from the LCAD college housing website, lessor lists or roommate lists, does not constitute any type of legal obligation by the college, including faculty, staff and students. All off-campus housing information posted or shared from the college is done so for informational purposes only and the college takes no responsibility for any legal contracts or agreements made. All legal issues resulting or pertaining within student housing are the sole responsibility of the tenant(s) and the landlord. Any information provided, given or submitted by all users is done so voluntarily and the college is not responsible for both the information, its association and use. We encourage all users to be cautious and safe when providing their information to any third party individual, business or organization. LCAD does not evaluate, represent, warranty nor imply the suitability or safety related to any off campus housing property, landlord, management, realtor, student or any other individual or organization associated with off campus housing. Please type your full name below. By electronically signing below, you acknowledge that you have read the housing disclaimer listed above and that your responses to the questions within this form are correct and true to the best of your ability.Name First Last Signature