Housing Inquiry Form

Thank you for your interest in The Rollins at Gateway @ Millbrae Station.

Apartment availability varies throughout the year, and applications are accepted based on current availability. Please contact the Property Management office directly at (650) 583-8841 or therollinsleasing@jsco.net to inquire about current or upcoming availability, eligibility requirements, and the application process.

You may also complete the Housing Inquiry Form below to provide your contact information and tell us about your housing needs.

Please note: This is an inquiry form only. Completing this form does not constitute an application for housing, does not place you on a waiting list, and does not guarantee an apartment or future availability.

CONTACT INFORMATION:

First Name

Last Name

Phone

If other, please specify language:

HOUSEHOLD INFORMATION:

What apartment size are you interested in?

Studio 1 Bedroom Either Studio or 1 Bedroom

How many people would be living in the apartment, including yourself?

1 2 3

How many members of your household are adults (18 years or older)?

1 2 3

What is your estimated annual household gross income from all sources, before any deductions?

Do you currently have a Section 8 voucher or other form of rental assistance/housing subsidy?

Yes No

HOUSING PREFERENCES AND NEEDS:

The Rollins has housing preferences for Veterans and individuals who live and/or work in the City of Millbrae. Please select all that apply to your household.

Work in the City of Millbrae Live in the City of Millbrae Veteran None of the above

Do you require an apartment with accessibility features for mobility, hearing, and/or vision needs?

Yes No

Would you need a parking space?

Yes No Not sure

MOVING INFORMATION:

When are you looking to move?

Would you need to provide notice to your current landlord before moving?

Yes, 30 days Yes, more than 30 days No Not applicable

What is your primary reason for looking for a new home?

If you checked other, please specify:

ADDITIONAL INFORMATION:

How did you hear about The Rollins?

If you checked other, please specify:

Is there anything else you would like us to know about your housing needs?

Consumer Privacy Act (CCPA)

I consent to having this data collected.

This form collects your contact information so that our support team can communicate with you and provide assistance. Please check our Privacy Policy to see how we protect and manage your submitted data.