q Faculty/Staff q Student q Community member Forofcialuse:
qVisitor q Contractor Permitnumber:
Application Information
Full legal name:
Last First Middle
ENMU address (if any):
Dormitory Room number
Local physical address (if different):
Street City State ZIP
Where do you receive mail?
Street/PO box City State ZIP
Home phone: Work phone:
Mobile phone: Emergency phone:
ENMU ID: Birthdate:
State of registration: Year of vehicle: Make: Model:
Color: License plate no.: Driver’s license no.: D.L. state:
Vehicle identification number (VIN):
Registration expiration year: Vehicle style: (Example: 2-door car, 4-door car, SUV, pickup)
For official use only: Height: Weight: Hair color: Eye color:
Instructions
EachapplicantmustlloutthisforminordertoreceiveaparkingdecalortemporarypermitfromtheEasternNewMexico
UniversityDepartmentofPublicSafety(ENMUDPS).Thisformmustbecompletedentirelyandaccuratelybeforeanypermitor
decalwillbeissued.Inshort,itisthepolicyofENMUforeachandeverystudent,faculty,and/orstaffmembertohavehis/her
vehicle(s)registeredthroughtheENMUDPSwhichwillbeoperatedand/orparkedontheUniversityproperty.
Statement of Understanding and Agreement
IunderstandthatfailuretoproperlydisplayanENMUparkingdecalortemporarypermitonanyvehicle(s)operatedorparked
onENMUisaviolationofENMUParkingRegulations.IalsounderstandthatIwillobeyallstatelawsandENMUtrafcrules/
regulationsastheynowexistormayhereafterbeproperlycreatedbythestateorENMUadministration.Iunderstanditismy
responsibilitytobecomefamiliarwiththeENMUParkingRegulationsbrochurethatwasprovidedtomeatthetimeofthe
issuanceofmyparkingdecalortemporarypermit.Furthermore,mysignaturebelowreectsIunderstandthisisanofcialstate,
Universityandlawenforcementdocument.Intentionalfalsicationsofanyand/orallinformationormaterialfactcontainedon
thisformmaybegroundsforadministrativeorcriminalsanctionsandmaybegroundsforformaladjudicationproceduresfor
violation(s)oftheENMUStudentCodeofConduct.
Signature:
Date:
Forofficialuse:
PN1953•1/18
Application for Parking Privileges
Department of Public Safety | Phone: 575.562.2392
Department of Public Safety
**Bringdriver’slicenseandcurrentvehicleregistrationwhenturninginthisform**
ENMUDPSislocatedonthecornerof3rdStreetandSAveK
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