Student Parking Form

1. All students who wish to have student parking must have a valid parking sticker. These stickers are available at orientation for Students at the College. Students may register for a parking permit online: Student Parking Policy.

2. Student parking is designated in the 24/7 staff/student Surface Lots. Students may never park in “A” or “M” lots. On-street parking is also available however it is the responsibility of the student to abide by all metered signs and payment.

3. Security escorts are available to and from the 24/7 staff/student Surface Lots by calling 315-448-5173.

4. Students provided with handicapped parking accommodations must possess a State or County Handicapped Parking Permit. Temporary requests for handicapped parking must be supported, in writing, by the requesting parties’ provider specifically indicating the need for temporary parking accommodations.

5. When students are required to attend clinical at outside agencies, it is the students’ responsibility to pay for parking or obtain a discounted monthly pass.

Liability
While we endeavor to protect the property of our staff, patients, and visitors, the hospital/college is not responsible for loss or damage to vehicles or their contents.

Parking Services
Upon request, Security will provide jump-starts only. All other motor vehicle related assistance shall be referred to an auto club or local service station

Name Name First Last
Email Address (please use your personal email)
Program Option

Program Option Evening/Weekend Weekday
Plate #
Make/Model
State
If you are a Le Moyne student, do you have a personal vehicle to commute from LeMoyne campus to SJCON campus?

If you are a Le Moyne student, do you have a personal vehicle to commute from LeMoyne campus to SJCON campus? Yes No
If you are a Le Moyne student without a personal vehicle, do you need assistance with setting up rides to and from LeMoyne campus to SJCON campus?

If you are a Le Moyne student without a personal vehicle, do you need assistance with setting up rides to and from LeMoyne campus to SJCON campus? Yes No
If you are a Le Moyne student with a personal vehicle, would you be willing to participate in a carpool/ride sharing group with other LeMoyne & SJCON students?

If you are a Le Moyne student with a personal vehicle, would you be willing to participate in a carpool/ride sharing group with other LeMoyne & SJCON students? Yes No
I have read the above parking rules and agree to abide by them.

Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY