Campus Parking: Apply for a Parking Permit

Full Name:

Email:

Affiliation (student, faculty, staff...):

Campus Address (use dorm/room; department/building/room; or company name/work site):

Telephone:

State:

Plate Number:

Make:

Model:

Year:

Color:

Name and address (including city, state, and zip)

Handicap Plate?: Yes
No

Payment: $20 for one semester
$40 for two semesters

Payment Type: Bill my student account
I will pay by check (made payable to Haverford College).

By clicking the submit button you agree to the following: As a permit holder, I understand that I am responsible for knowledge of the parking regulations as set forth in the Haverford College Motor Vehicle Registrations booklet. I further understand that parking privileges may be suspended or revoked for violations of the rule and regulations; that the College reserves the right to have any vehicle towed from the College property at the owner's risk and expense; and that the College is not responsible for any vehicle or its contents while parked or operated on College property.

Click "Submit" to process your application. Submission of this form does not complete the application process. You will receive an e-mail with further instructions.