Parking Permit Application Winter 2020
APPLICATION DEADLINE: Tuesday, January 15, 2020
Incomplete applications and applications missing required documentation will NOT be processed.

DO NOT SUBMIT PAYMENT WITH APPLICATION.
-Fill out this form and click submit.
-After you submit this form, an attachment will be sent to the email addresses provided.
-Print the attachment, obtain required signatures, and return signed form, a copy of the front of the student's drivers license and documentation supporting reasons for parking permit request to:
Walt Whitman High School, Attn: Elizabeth Hillard, 7100 Whittier Boulevard, Bethesda, MD 20817
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Return of the signed form is required for processing.
No emailed or faxed applications will be accepted
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Confirmation of form receipt and other information regarding this application are sent by email. Be sure to set your spam/junk filters to allow email from @mcpsmd.org and @mcpsmd.net.

Either of the following criteria will be the primary determining factor for granting parking permits. If space allows, participation in extracurricular activities may also be considered in the application process.

~Enrollment in MCPS recognized credit-bearing internships or site-based work experiences that require the student to provide their own transportation in order to participate.

~Enrollment in MCPS recognized credit-bearing courses at another MCPS school or Montgomery College that require the student to provide their own transportation in order to participate.

To be eligible for a parking permit, students must be a senior, and obligation-free.
I have read, reviewed and understand the Walt Whitman parking regulations. Click on the link to read the regulations and print a copy for your records. https://tinyurl.com/WWHS-Parking-Regulations *
Required
Student Information
ID *
MCPS issued ID number (6 digit)
Your answer
First Name *
Your answer
MI
If student does not have a middle initial, leave blank
Your answer
Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Dismissal *
What time does the student leave the school
Time
:
Home Address *
Your answer
Distance to School *
Nearest tenth of mile
Your answer
Telephone *
Provide best daytime number
Your answer
Emergency phone number: *
Your answer
Student Driver's Permit Number *
Your answer
Student email: *
Provide an accurate email address that you check daily.
Your answer
Parent/Guardian email: *
Your answer
Parent/Guardian Home Address
Complete if different from student address
Your answer
Parent/Guardian Business Address *
Your answer
Vehicle Information
A copy of the driver's license, registration and proof of insurance must be attached to application for all listed vehicles.
Vehicle 1 Make/Model/Year *
Your answer
Vehicle 1 State and License Tag *
Your answer
Vehicle 1 Car color *
Your answer
Vehicle 1 Insured *
Select the current status
Required
Vehicle 1 Insurance Co. *
Provide full name of the insurance company
Your answer
Vehicle 1 Name of the legal owner *
Your answer
Vehicle 2 Make/Model/Year
Your answer
Vehicle 2 State & License Tag
Your answer
Vehicle 2 Car Color
Your answer
Vehicle 2 Insured
Vehicle 2 Name of Insurance Company
Your answer
Vehicle 2 Name of Legal Owner
Your answer
Parking Priorities
Due to limited parking spaces, permits will be assigned based on the school priorities or internships, attendance at college programs and CCRD job assignments.

Complete all questions that apply to you. Documentation must be attached to the printed and signed application for consideration.
Participating in school-supervised work program
Provide the name, address of the work program. Include the start/end time and start date of the work program. Proof of employment is required.
Your answer
Attending a Local institution of higher education on a part-time basis
Provide the name of the college and courses taken. Include start/end time and dates of classes. Proof of enrollment and course meeting schedule is required.
Your answer
Extracurricular activities
List extracurricular activities, and provide information why a vehicle is required.
Your answer
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