APPLICATION FOR VISITOR PARKING PERMIT
Fill in application completely. Please write legibly!
All persons operating and parking on Campus property are required to act in accordance with the policies and
procedures set forth in the traffic and parking regulations. Hosts are responsible for their guests while on campus.
The host and/or visitor or guest may be held responsible for actions contrary to College policies.
READ INSTRUCTIONS: (This form is not intended for use by faculty, staff, or students…for visitors/guests only!)
1. Write in visitor/guest name and address; arrival and departure dates.
2. Write in ID number or name of host on campus.
3. Write in vehicle information; required to obtain a temporary permit.
I certify that the information above is true, accurate, and complete. I understand that the
College assumes no risk for my/their vehicle while it is parked on campus property.
NOTE: Visitors/Guests must visit Campus Safety office prior to departing campus to discuss any citations
issued. Failure to do so may result in host being held responsible for the citation.
Date: ________________ Signature: ____________________________________________
TO BE COMPLETED BY CAMPUS SAFETY
Permit Number: ___________________
Parking Location: __________________________________
Name
:
Visitor LAST Name Visitor FIRST Name …. HOST NAME
Address:
Visitor Street Address
MAKE MODEL COLOR YEAR
Vehicle Info:
LICENSE PLATE NUMBER STATE
Visitor Cell Phone #:
Departure Date:
Permit Completed by: ___________________________
First and Last Name
Ver. 071218
Visitor
Email:
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