Public Safety: Campus Parking

Download a PDF file here or use our online form provided below. All fields are required!

Student Car Authorization Request

Note: All student permits must be placed on the rear bumper of the vehicle.

Name: Class year:

Residence hall for current year:

Extension for current year:

Vehicle make: Model: Color:

License plate number: Please re-enter:

State: Owner's name (from registration card):

Reason for requesting a permit (select one):

Name of company:

Address: Phone number:

Off-campus address:

I am a member of

You will need to provide the signature of a department head or the organization leader.

Please explain:

Any student who receives a permit is required to make two medical transports for the Worth Health Center. The student driver will receive $5 per trip. Faliure to meet this requirement will result in the REVOCATION of the parking permit.