Olin College - Campus Services

Parking Permit Application

Personal Information

First Name* :		Last Name* :
9 Digit Olin ID:		Email Address* :
Phone Number* :		Olin Mail Box Number :
Class Year

Status*:

Student Faculty Staff Affiliate Cross Registered

Please complete the appropriate section below, depending upon whether you are living on or off campus.

On Campus Address*	OR Off Campus Address*
Residence Hall:	Street Address:

Room Number:	City:

	State	Zip Code

Vehicle Description

License Plate* :		State*:		Make*:
Model* :		Color*:		Year*:

Agreement

In accepting the privilege to operate a motor vehicle at Olin College, I agree
to be responsible for learning and obeying all published traffic and parking
regulations of the college.I swear the above information to be true and correct.
I understand that incomplete forms cannot be processed.