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2017-18 RB Student Lot Parking Application
Submission of this application does not automatically guarantee a parking permit for the 2017-18 school year.

If approved, payment of ($150) must be made by August 14th to the Business Office. Students must pay all school related fees including the parking permit fee in full prior to obtaining a parking pass.

Completion and submission of this application confirms that the student and parent understand all of the RB handbook rules and consequences regarding parking privileges on campus. If a parking pass is revoked due to a handbook violation it will be non refundable.

A parking expectations sheet will be provided to all students who are awarded parking stickers for the 2017-2018 school year in which parents and students are expected to review and sign prior to obtaining a pass. Payments for fees as well completed parking expectation sheets will be accepted during our summer residency dates.

Due to the limited number of passes all application requests may not be honored.Carpooling is encouraged to ensure that as many students as possible are able to receive permits.

All parking applications are due by July 3, 2017. Any and all applications that are submitted by the deadline are reviewed
as a whole and not based on when they are submitted.

Submitted parking application will be reviewed and parking stickers will be selected based on...

1. Distance from RB
2. Carpool (siblings)
3. Extracurricular activities
4. Discipline record (No suspensions)
5. Class status (Seniors first)

Students receiving a parking permit will be notified by July 15. Contact Mrs. Buscemi at with any questions.

Student Information
Please indicate your year in school.
Student's Last Name
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Student's First Name
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Your answer
Your answer
Student's cell phone number
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Student's Driver's License Number
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Student's Driver's License Expiration Date
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Insurance Company
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Student's Insurance Policy Number
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Distance from school (in miles)
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Parent Information
Parent's cell phone number
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Parent's home phone number
Your answer
Vehicle Information
Make of Car
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Model of Car
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Year of Car
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Color of Car
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Illinois License Plate Number
Your answer
Additional Information
List students carpooling with you
Provide their first and last name, along with their grade
Your answer
Check all that apply
Explain why you would like special consideration for a parking permit.
Your answer
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