SPRING 2020
KAPI‘OLANI COMMUNITY COLLEGE
APPLICATION FOR PARKING LOT “A” PERMIT #
VALID FOR SPRING 01/13/2020
MUST HAVE A VALID KCC STUDENT ID
Outstanding KCC parking Citations (previous semesters included) must be settled/
paid in full at the Cashiers Office (‘Ilima 106); proof of payment is required. Repeated
violations may result in the towing of your vehicle.
PRINT CLEARLY & LEGIBLY:
Applicant:
_________________________________ _________________________________
(LAST NAME) (FIRST NAME)
Email: ______________________@hawaii.edu Student ID #: _____________________
Phone Number: _________________________________
Vehicle Year: _________________________________
Vehicle Maker: _________________________________
Vehicle Model: _________________________________
Vehicle Color: _________________________________
Vehicle License Plate Number: _________________________________
I AM ACCEPTING MY LOT “A” PERMIT AND UNDERSTAND THE KCC PARKING RULES
AND REGULATIONS for the current semester, and I agree to abide by said Rules and
Regulations as set forth by KCC Security and the Board of Regents.
APPLICANT’S SIGNATURE: _______________________________ DATE: ___________________
FOR OFFICE USE ONLY
APPROVED BY: _________________________
ISSUED BY: _________________________
DATE: _________________________
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