Employee Parking Permit Registration Please fill in as many fields as possible. Driver Information: First Name: Last Name: Owner Information: First Name: Last Name: Street: City: State: Employee Information: Department: Employee Status – Please check ONE: Faculty Administration Support Staff Vehicle Information: Year: Make: Model: Color: License Plate #: State: Other / Previous Registrations: Keep Discard Description of vehicle: I HAVE RECEIVED A COPY OF THE PARKING POLICY In consideration of extending the privilege of parking on College property, I agree to accept full responsibility for all fines levied for violations of the college’s parking regulations. I further agree that any fines not contested by me and not reversed by the Appeals Parking Board must be paid at the Cashier’s Office. I understand that all fines, not paid within 30 working days, will be deducted from my payroll. I grant authorization to have said fines deducted. Continued violations of the Parking Regulations can result in loss of campus parking privileges and possible disciplinary action. Please check here to acknowledge that the college parking regulations have been made available to you, that you have reviewed them and agree to the terms. Please enter the red letter in the following image: