Academic Year 2008/2009 Department of Public Safety and Parking Services
Personal Information:
First Name Last Name Middle Initial Banner ID # Mail # E-mail
Residence Hall (Check One):
North Campus Center Campus South Campus
Undergraduate Status (Check One):
This is based on number of credits and will be verified on the day of the lottery drawing.
Graduate Student Freshman Senior Junior Sophomore
Vehicle Information:
Vehicle Make License Plate# State
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 in my name or a member of my immediate family.
· 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 2008/2009 Parking Guide.
Today's Date:
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DEADLINE DATE: