Request Vehicle Access to Campus Mall
Request Vehicle Access to Campus Mall
Use this form to request access to the mall areas of campus.
Driver's Name
Driver's Name
*
First
Last
Driver's Phone Number
Driver's Phone Number
*
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-
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Driver's Email Address
*
Supervisor's Name
Supervisor's Name
*
First
Last
Supervisor's Phone Number
Supervisor's Phone Number
*
-
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-
###
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Vehicle Make and Model
*
Vehicle License Plate
*
Reason for deviation from service point for specific building
*
Describe route/stopping point
*
Arrival Date
Arrival Date
*
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MM
/
DD
YYYY
Arrival Time
Arrival Time
*
:
HH
MM
AM
PM
AM/PM
Departure Date
Departure Date
*
/
MM
/
DD
YYYY
Departure Time
Departure Time
*
:
HH
MM
AM
PM
AM/PM
Acknowledgement:
*
Acknowledgement:
I have read and understand policy 6-13, Vehicle Operation on Campus
Acknowledgement:
*
Acknowledgement:
I understand the campus restricts mall access from 11 a.m. to 2 p.m. and requests including that timeframe will not be approved.
Acknowledgement:
*
Acknowledgement:
I understand the speed limit on pedestrian pathways is 5 mph.
Acknowledgement:
*
Acknowledgement:
I understand pedestrians have the right-of-way.
Acknowledgement:
*
Acknowledgement:
I understand vehicles must not block pedestrian pathways, fire exits, fire access routes, or ADA accessibility.
Acknowledgement:
*
Acknowledgement:
I understand vehicles will not be operated or parked off of hard (paved) surfaces.
Requestor Email