WVMCCD - EVENT PARKING REQUEST
SUBMIT FORM TO THE OFFICE OF THE VICE PRESIDENT OF ADMINISTRATIVE SERVICES
NO LATER THAN 14 CALENDAR DAYS IN ADVANCE OF YOUR EVENT
DO NOT ADVERTISE ANY PARKING ACCOMMODATIONS PRIOR TO RECEIVING APPROVAL
Indicate the type of fee-exempt parking you are requesting – Select only one:
Paper Parking Permits □ | Electronic Permits □ | Parking Lot Fee Waiver □
Please indicate the parking lot(s) you would like your guests to be able to use:
Mission - A□ B□ C□ D□ E□ | West Valley - 1□ 2□ 3□ 4□ 5□ 6□ 7□ T.C.□
REQUESTOR’S CONTACT INFORMATION:
Name:__________________________________________________ Dept./Org.:_____________________________________________
Phone#_________________________________________________ Email Address:__________________________________________
Event Day Contact: Name________________________________________ Phone #________________________________________
EVENT INFORMATION:
Event date:_____________________ Event day:________________ Event start time:_____________ Event end time:______________
Preferred lot waiver start time:_______________________________ Preferred lot waiver end time: _____________________________
Event title:________________________________________________________ Estimated # of guest vehicles:____________________
Event location:____________________________________________________ Estimated attendance at any one time: ______________
Event description:__________________________________________________ Estimated total attendance:_______________________
The group/organization is: part of the college, district, or district foundation □ external, for-profit □ external, non-profit □
Attendees to receive permits by: E-mail □ or Mail □ | Attendance is open to the public □
Provide justification for all fee waiver requests:________________________________________________________________________________
___________________________________________________________________________________________________________________________
V.P.A.S. USE ONLY
Date Received:___________________________Received by: _______________________________________
Internal Waiver □ External Waiver, College Sponsored □ Rental □ | Approved □ Denied □
__________________________________________ __________________
Signature of the Vice President of Administrative Services Date
Request denied - Date requestor notified: ________________ | Total parking rental fee charged: $___________________
Notes: ______________________________________________________________________________________
___________________________________________________________________________________________
P.D. USE ONLY
Date Received:________________________________ Received by: ___________________________________________
Received within 14 day deadline: Yes □ No □ Request approved - Date requestor notified: ___________________
Rental fee received? □ Date fee transferred/deposited to Parking Fund: ______________________
Rev. 1- 12/13
click to sign
signature
click to edit
![]()
