CAMPUS PARKING REGISTRATION
Student Name_________________________________ Date_____________
Millikin ID# _______________________
*Freshman & sophomore residents must petition to have their vehicles on campus*
Petitions can be obtained at the Safety & Security office located in Walker Hall or Petitions can be completed online here
School Status:
Please circle one: Commuter Greek Woods Resident Fr. So. Jr. Sr. PT
Address Home _______________________________ Phone #_______________
_______________________________
Campus Address_______________________________ Phone#_______________
Year________ Make___________ Model__________ Color_________
License Plate #_____________ State______
Owner_______________ Address______________________________________
______________________________________
Permit #________ Signature___________________________________
*Please pay at the cashier’s office and pick up the permit at Safety & Security located at Walker Hall.
*Please send payment for permits separately from tuition payments*