UST Resident Student Permit Lottery Form

Academic Year 2016/2017
Department of Public Safety and Parking Services

Personal Information
First Name
Last Name
Middle Initial
Mail #
Residence Location (Select One)
Undergraduate Status (Select One)
Vehicle Information
Vehicle Make
License Plate #

I have read and agree to the following:

- The above information is true and accurate.

- The above vehicle is registered with the department of motor vehicles.

- I understand that any false statement may cause my parking privileges at the University of St. Thomas to be permanently revoked.

- I understand that if I am able to purchase a resident parking permit it does not guarantee me a parking space.

- I understand that the resident permits and contracts are non-transferable )to other students or other vehicles and must be returned if I move off campus.

- I have only submitted one lottery form and understand that I will not be entered in the lottery if I submit more than one form.

- I agree to be responsible for following all rules and regulations as outlined in the 2016/2017 Parking Guide.

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