UST Resident Student Permit Lottery Form

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

Which lotteries would you like to be entered in?: (Select one or all)

North Campus (Ramps R2-North and R3) - $450

South Campus (Lots X, V, and Y) - $450

Ramp Contract (Ramps R2-South) - $1080

                Check if you prefer a ramp contract over a parking permit

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 2007/2008 Parking Guide.

Today's Date:

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DEADLINE DATE: Monday, August 27th, 2007