Select type of Permit: Type Student Faculty Staff * REQUIRED: If you do not indicate type your application will not be processed *

Name:

Park ID#  

Address:

City:   State:    Zip Code:

Campus Box #    Telephone#

E-mail:
      

Vehicle #3

Make:       Model:  

Year: Color: License Plate#: State:

I understand that my vehicle(s) must be properly registered, licensed, and insured in order to have it on campus. I have been given a copy of the Park University traffic regulations and I agree to follow all parking and traffic regulations on campus. Click below to view Parking and Traffic rules online:

Campus Traffic and Parking Regulations