Fields with asterisks (*) are required.
This form is for Full-Time Faculty/Staff ONLY, who are already participating in the payroll deduction program. Students are not eligible for waiting lists.
By completing this form I agree that I am a faculty/staff member and wish to be placed on the wait list for the lots/structures specified above. As these locations become available, people from the wait list will be contacted and assigned. If the lots/structures are premium locations, I agree to pay the premium amount for parking either for my semester pass or via parking deductions. If I no longer wish to be on a particular wait list, I will contact firstname.lastname@example.org to remove my name from the list. I acknowledge that placing myself on the list is not a guarantee that I will gain access to these locations.