WHICH VEHICLE:          VAN            EXPLORER          EDGE

The Van holds 14 passengers, plus driver. You must be a College faculty or staff member to drive the van, and be on the designated driver list to drive any of the college vehicles. The Explorer holds 6 passengers, plus driver. The Edge will accommodate 4 passengers, plus driver. Drivers must submit an abstract of driving record from DMV no less than two weeks in advance of vehicle reservation to be put on the designated drivers list

PERSON SUBMITTING FORM:__________________________________________________

ORGANIZATION NAME:_______________________________________________________

EXTENSION:___________________________ DATE SUBMITTED:____________________

DATE / TIME THE VEHICLE IS NEEDED: ________________________________________

DATE / TIME IT WILL BE RETURNED: __________________________________________

FOR TRIPS OF TWO OR MORE DAYS THE VEHICLE MUST BE WASHED BEFORE IT IS RETURNED. VICE-PRESIDENTIAL APPROVAL IS NECESSARY FOR OVERNIGHT TRIPS, AND A STAFF MEMBER MUST ACCOMPANY STUDENTS TRAVELING OVERNIGHT.

DESTINATION: _______________________________________________________________

PURPOSE OF THE TRIP: _______________________________________________________

DRIVER OF VEHICLE: _________________________________________________________

Keys for the assigned vehicle may be obtained from the Security Office at the time of departure. All vehicles are kept behind Rogick Hall. Upon the completion of your trip, vehicle must stop at the Security Booth. At this time, all passengers must be out of the vehicle and the Security Officer on duty will check the vehicle for cleanliness and damage. Then the driver will return the vehicle to its parking spot in the rear of Rogick, and turn in the keys and mileage slip to security.

PERSON TAKING RESPONSIBILITY:____________________________________________________________________

PHONE NUMBER WHERE THEY CAN BE REACHED:_________________________________________

THIS PERSON MUST BE A STAFF MEMBER AND SHOULD NOT BE GOING ON THE TRIP. THEY MUST BE AVAILABLE DURING THE TIME THE VEHICLE IS OUT IN CASE OF ANY PROBLEMS.

STUDENT DEVELOPMENT & PROGRAMS APPROVAL:_________________________________________

SECURITY APPROVAL: ____________________________________________DATE: _____________________

RESERVATIONS MUST BE MADE AT LEAST 24 HOURS IN ADVANCE, DURING BUSINESS HOURS ONLY. SUBMISSION OF THE FORM DOES NOT GUARANTEE APPROVAL. YOU WILL RECEIVE CONFIRMATION FROM SECURITY.

COPY OF PASSENGER LIST MUST BE ATTACHED TO THIS FORM BEFORE VEHICLE IS TAKEN.