Employee Vehicle Registration--Parking Permit

Vassar College Campus Employee Vehicle Registration

This form must be completed and permit placed in vehicle in order to park on the Vassar Campus.

Full Name*

First NameLast Name

Vassar ID Number*

Campus Box No:

Permit Number

Permit Number #2

Date picked up

MonthDayYear

Employment Status:*

Full TimePart TimeTemporaryRetired

Phone Number*

Area CodePhone Number

E-mail*

Department*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

On Campus Building*

Permit Type*

Vehicle Information

Vehicle

Make of Vehicle :*

Model of Vehicle :*

If you do not see your car listed, please e-mail registervehicle@vassar.edu to get it added. Select other for now and we will change it for you.

Primary Color of Vehicle :*

Plate Number of Vehicle :*

Year of Vehicle :*

Vehicle State registered *

**If you have temporary tags, please enter those now and then let us know when you get the permanent ones.

By submitting this form, I affirm that my vehicle is in compliance with New York State Law and that I have received a copy of the "Employee Parking Regulations"

Date

MonthDayYear