Applicant Information
Student ID #:___________________________ Last Name: ______________________________ First Name: __________________________
Vehicle Information
License Plate State and Number: ________________________________________________________________________________________
Make: __________________________ Model: ___________________________ Color: ______________________ Year: _________________
For Office Use Only
Permit Number: ____________________________________Date Issued: _______________________________________
*Students must complete one parking permit application form for each vehicle to be registered.
Please use black or blue ink to fill out this form and turn it in to the Business Office.
There is no charge for the first parking permit. Each additional parking permit will cost $5.00.
As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal Opportunity Institution and does
not discriminate on the basis of race, color, national origin, sex, age or disability.
Revised 06/12/2018
Parking Policy: