VEHICLE USE REQUEST
THIS
FORM MUST BE COMPLETED EACH TIME AN INDIVIDUAL PRE-AUTHORIZED BY THE DISTRICT
WISHES TO RESERVE A DISTRICT OWNED VEHICLE FOR TRANSPORTING STUDENTS TO COLLEGE
SPONSORED ACTIVITIES. COMPLETED REQUEST FORM MUST BE SUBMITTED TO MISSION COLLEGE
ATHLETICS DIRECTOR, KAREN YODER AT KAREN.YODER@MISSIONCOLLEGE.EDU AT LEAST TWO (2)
WEEKS IN ADVANCE OF EVENT.
Vans must be picked up from Parking Lot F at Mission College. The vehicle must be returned to the same location at
the return time indicated above with a minimum of ¾ tank of gas and completely emptied of all belongings. If the office
is closed, please drop key(s) in the drop box located at Viso Center. In the event of an emergency or accident,
immediately call 9-1-1. Additional contact information and rules will be in the vehicle. A copy of this form must be
provided at the time of vehicle pick-up. No one can pick up or return the vehicle on your behalf.
-------------------------------------------------------FOR OFFICE USE ONLY-------------------------------------------------------
REQUEST FOR VEHICLE(S): APPROVED DENIED
VAN(S) ASSIGNED: #14 #15 #16 #17 #18 #23 #24
_____________________________________________ ___________________
SIGNATURE OF ATHLETIC DIRECTOR DATE
NAME: ____________________________________________________ DATE: ______________________
EMAIL: ____________________________________________________ PHONE: _____________________
PURPOSE: ATHLETIC EVENT* FIELD TRIP OTHER ______________________
*For Athletics, please check sport:
Badminton Baseball Basketball Softball Tennis Volleyball
EVENT DESCRIPTION AND LOCATION:
NUMBER OF VANS REQUESTED (1-7): __________
PICK UP TIME: ______:______ AM/ PM
PICK UP DATE: ____________________
NUMBER OF DRIVERS: * _________
RETURN TIME: ______: ______ AM/ PM
RETURN DATE: ____________________
NUMBER OF PASSENGERS: _________
*EACH DRIVER MUST BE PRE-AUTHORIZED.
FULL NAME OF 2
ND
DRIVER: ___________________________________________________________
FULL NAME OF 3
RD
DRIVER: ___________________________________________________________
FULL NAME OF 4
TH
DRIVER: ___________________________________________________________
Please remember that submission of this request form does not guarantee availability.
Please consider alternative transportation options, in the event, vans are not available for use.
_________________________________________________________________________________________
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