Fillable 012913revisedpermitapplicationfaculty TRANSIT SHUTTLE CARD

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012913revisedpermitapplicationfaculty TRANSIT SHUTTLE CARD

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CI Permit
Number Issued
CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS
Police and Parking Services
One University Drive •Camarillo, CA 93012
(805) 437-8430 (O) • (805) 437-8431 (F)
PARKING REGISTRATION APPLICATION
For Faculty
Participants of carpools must submit their applications simultaneously and one vehicle
owner must be identified as the party responsible for paying the required fees.
PERMIT Fall _______ Spring ________ Summer ________ Academic Year _________ Annual _________
REGISTRANT INFORMATION
LAST NAME FIRST NAME
MAILING ADDRESS
CITY STATE ZIP CODE
HOME TELEPHONE NUMBER WORK TELEPHONE NUMBER E- MAIL ADDRESS
VEHICLE INFORMATION
(For owners of multiple vehicles, only one permit will be issued, unless the 2
nd
vehicle is a motorcycle)
VEHICLE #1 ARE YOU THE REGISTERED OWNER OF THIS VEHICLE? Yes No If no, write name(s) below.
VEHICLE MAKE VEHICLE MODEL REGISTERED OWNER NAME(S)
VEHICLE COLOR(S) LICENSE PLATE NUMBER STATE VEHICLE YEAR
VEHICLE #2 ARE YOU THE REGISTERED OWNER OF THIS VEHICLE? Yes No If no, write name(s) below.
VEHICLE MAKE VEHICLE MODEL REGISTERED OWNER NAME(S)
VEHICLE COLOR(S) LICENSE PLATE NUMBER STATE VEHICLE YEAR
PARKING FEES Semester
Vehicles- Fall or Spring Semester Lots A1-A10 $98.45
Vehicles- Summer Session Lots A1- A10 $84.45
Vehicles- Academic Year Lots A1- A10
$196.90 or $16.41/month
through Payroll Deduction
Vehicles- Annual Lots A1- A10
$27.49/month
through Payroll Deduction
Motorcycles- Fall or Spring Semester Lots A4 and A7 $24.19
Motorcycles- Summer Session Lots A4 and A7 $20.75
To purchase your permit online, login to your myCI account and click on the CI Parking Permits
tab. Fill out your information and pay for your parking permit using American Express, Discover,
Mastercard or echeck. A 2.9% processing fee will be applied if you choose to purchase your
permit online with a credit card.
Your permit will be mailed to the address you provide us in your online application. Permits will
still be sold in our office located in Placer Hall, Monday through Thursday from 8:00am to 4:30
p.m. and Friday from 8:00 a.m. to 3:00 p.m. Methods of payment accepted include CASH,
CHECKS and MONEY ORDERS.
Please make checks or money orders payable to: CSU Channel Islands
Print Form
Guidelines for Faculty Parking
Faculty is defined as members of Collective Bargaining Unit 3 and volunteer professors.
Parking of motor vehicles on the California State University Channel Islands campus is
regulated in accordance with Section 21113 (a) of the California Vehicle Code,
Sections 42200 and 42201 of Title 5 of the California Code of Regulations.
All parking registrations applications for faculty must be completed in their entirety
(including name, contact information and vehicle information) and must be submitted
to Police and Parking Services when the faculty member purchasing the permit is either
making changes to their address and/or vehicle information or when a faculty member
purchasing the permit has not filled out an application in the past.
Parking permit applications are subject to being denied for the following reasons:
• The requestor is not a verified CSU Channel Islands faculty member with the
University’s Human Resources Department
• The requestor is classified as a teacher’s assistant with the faculty department
If the application is approved, Police and Parking Services will assign a Faculty parking
permit to the applicant. If the faculty member chooses to be put on payroll deduction,
our staff will provide the applicant with additional paperwork which our office will then
submit to the State Controller’s office. Vehicles displaying a F (Faculty semester,
Academic Year or Annual), permit, may park in any unmarked or “Faculty” stalls in the
A1-A11parking lots on campus. Failure to park in the specified areas that this permit
pertains to or failure to abide by the campus parking rules and regulations may result in
a parking citation.
Any faculty applicant found lending, transferring or selling their permit to another
person will be in violation of Section 11.14 of the CSU Channel Islands Parking
Regulations. This action may result in a parking citation being issued and/or other
corrective measures including criminal prosecution.
If you have any additional questions in regards to the application or the parking
guidelines for faculty permits, please call (805) 437-8430 or visit our main office located
in Placer Hall.
Revised 7/12
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012913revisedpermitapplicationfaculty TRANSIT SHUTTLE CARD

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Completed 11 March 2020

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