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STAFF PARKING APPLICATION (FORM B)
Note: All staff members are required to secure an updated Staff parking permit. Please refrain from parking in unauthorized areas including the Maintenance Lot, Front Lot and Bus Ramp. Vehicles parked in unauthorized areas will be towed at owner’s expense.
Email address *
STAFF MEMBER'S FIRST NAME *
Your answer
STAFF MEMBER'S LAST NAME *
Your answer
TITLE / POSITION *
Your answer
STREET ADDRESS *
Your answer
APT#
Your answer
CITY *
Your answer
STATE / ZIP *
Your answer
PHONE NUMBER (OPTIONAL) *
Your answer
Phone numbers will be used to locate staff members during emergencies and in the case your car is parked in an unauthorized area.
VEHICLE INFORMATION
YEAR *
Your answer
MAKE *
Your answer
MODEL *
Your answer
COLOR *
Your answer
BODY STYLE DESCRIPTION (2 Door, 4-Door, Station Wagon, Pick-Up, Van, Motorcycle) *
Your answer
NAME OF INSURANCE CARRIER *
Your answer
POLICY NUMBER *
Your answer
VEHICLE LICENSE PLATE # *
Your answer
TEXAS DRIVER'S LICENSE NUMBER / STATE *
Your answer
All staff members are to park in areas authorized for staff. Staff members are allowed to park in either the Student or Staff parking lot. Any staff member requesting to park in the Maintenance and/or Front parking lot must obtain Admin approval. NO STAFF MEMBER IS TO PARK ON THE BUS RAMP. Vehicles parked in unauthorized area will be towed at owner's expense.
OFFICE USE ONLY
PERMIT #
Your answer
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