Vehicle Reservation Form
Vehicle Reservation Form
Thank you for utilizing our Vehicle Loan Program!
Last Name of Driver
*
First Name of Driver
*
Student/Staff/Faculty Status
*
Undergraduate Student
Graduate Student
Staff
Faculty
Student Organization (if applicable)
*
Driver Phone Number
*
Driver Email
*
Have you completed all steps of driver authorization training?
Have you completed all steps of driver authorization training?
Yes
No
Type of Service Project
*
Service Learning Class Project
Student Organization Class Project
Individual Service Project
Other
Date and Time of Vehicle Request
Date and Time of Vehicle Request
*
/
MM
/
DD
YYYY
Time
Time
*
:
HH
MM
AM
PM
AM/PM
to
to
*
/
MM
/
DD
YYYY
Time
Time
*
:
HH
MM
AM
PM
AM/PM
Number of Hours of Service You Plan to Provide
*
If your request is recurring, please include the end date
Name of Community Organization
*
Address of Community Service Project Location
*
Community Project Contact Person
*
Community Project Phone Number
*
Number of students riding in vehicle (please count yourself)
1
2
3
4
5
6
7