Carpool Application

SEATTLE CENTRAL COLLEGE
STUDENT CARPOOL PARKING APPLICATION
The CARPOOL parking permit is valid for classes beginning at ANY TIME DURIING THE DAY. The CARPOOL permit is also valid all day on Saturdays.
Students interested in carpooling must be pre-approved by Transportation officers in room BE 1143. All permits are sold on first-come, first-served basis.
Student carpool permits are limited. Student carpool permit applications are generally not accepted if either of the student’s zip code on record is one of
the following: 98101, 98102, 98104, 98109, 98112, 98121, 98122, 98144
The Harvard Parking Garage is located at 1609 Harvard Avenue, Seattle, WA 98122.
Please complete this form and submit to office BE1143 (Transportation) along with proof of paid enrollment (receipts)and/or registration.
PLEASE SEE BACK OF FORM FOR ADDITIONAL INFORMATION, INCLUDING REFUNDS and REPLACEMENT.
STUDENT CARPOOL PARKING, STUDENT 1
YEAR: ________
DATE: _________________
ZIP CODE OF RESIDENCE_______________
NAME: ______________________________________________________
Last
First
SID#: _________ - _______ - ____________
TRANSPORTATION OFFICE APPROVAL:_______________________________________
(PRINT NAME)
CASHIER USE ONLY
PERMIT #:________________ AMOUNT CHARGED: __________________
SCC - TRANSPORTATION SERVICES * 1701 BROADWAY, SEATTLE, WA 98122 * 206-934-3202 / 6932
SEATTLE CENTRAL COLLEGE
. STUDENT CARPOOL PARKING APPLICATION
The CARPOOL parking permit is valid for classes beginning at ANY TIME DURIING THE DAY. The CARPOOL permit is also valid all day on Saturdays.
Students interested in carpooling must be pre-approved by Transportation officers in room BE 1143. All permits are sold on first-come, first-served basis.
Student carpool permits are limited. Student carpool permit applications are generally not accepted if either of the student’s zip code on record is one of
the following: 98101, 98102, 98104, 98109, 98112, 98121, 98122, 98144
The Harvard Parking Garage is located at 1609 Harvard Avenue, Seattle, WA 98122.
Please complete this form and submit to office BE1143 (Transportation) along with proof of paid enrollment (receipts) and/or registration.
PLEASE SEE BACK OF FORM FOR ADDITIONAL INFORMATION, INCLUDING REFUNDS and REPLACEMENT.
STUDENT CARPOOL PARKING, STUDENT 2
YEAR: ________
DATE: _________________
ZIP CODE OF RESIDENCE_______________
NAME: ______________________________________________________
Last
First
SID#: _________ - _______ - ____________
TRANSPORTATION OFFICE APPROVAL:_______________________________________
(PRINT NAME)
CASHIER USE ONLY
PERMIT #:________________ AMOUNT CHARGED: __________________
SCC - TRANSPORTATION SERVICES * 1701 BROADWAY, SEATTLE, WA 98122 * 206-934-3202 / 6932
SCC - TRANSPORTATION SERVICES * 1701 BROADWAY, SEATTLE, WA 98122 * 206934-3202 / 6932
STUDENT CARPOOL PARKING INFORMATION
All vehicles, except motorcycles and bicycles, parking in SCC facilities must display a valid permit. The permit must be clearly visible to be valid: hang it face out, on the interior rear view mirror,
or, face up, on the driver side of the dashboard. All parking permits shall remain the property of SCC. Transfer or resale of permits is prohibited. The permit holder has only been granted
license to park on campus in a designated area. Space is available on a first-come, first-served basis. No specific space is guaranteed.
IMPORTANT: Transportation Services MAY elect to invalidate this permit if both students are not present in the vehicle upon
entering the parking garage. This permit is only valid for parking in the Harvard Ave. parking garage.
REFUNDS OF PERMIT. FULL REFUND, less $5 fee, if returned before the 6th instructional day of the quarter (FIRST WEEK). Fifty percent (50%) REFUND, if returned between the sixth (6th)
and the fifteenth (15th) instructional day (THIRD WEEK). NO REFUND after the fifteenth (15th) instructional day of the quarter (AFTER THIRD WEEK).
LOST/STOLEN/MISPLACED PERMIT. SCC management is not responsible for lost, misplaced, or stolen parking permit. Please take good care of your parking permit.

NO REPLACEMENT for student CARPOOL parking permits, due to limited availability
.
DISCLAIMER. SCC management declares itself not responsible for fire, theft, damage, or loss of vehicle or any article left in the same. All such risks are being assumed by the permit holder.
LOCK YOUR VEHICLE AND KEEP ALL VALUABLES OUT OF SIGHT.
TERMS & CONDITIONS. By purchasing a parking permit from Seattle Central Community College, the student hereby agrees to abide by all terms and conditions set forth by the Transportation
& Parking Policy, including those stated on this form. The student also acknowledges and understands that any misuse or abuse of the parking permit could lead to the impoundment of vehicle
and suspension of all transportation and parking privileges.
I understand all rules and disclaimers, and I accept these terms and conditions:
__________________________________________________
(Signature of Student 1)
_________________________________
(Date)
SCC - TRANSPORTATION SERVICES * 1701 BROADWAY, SEATTLE, WA 98122 * 206934-3202 / 6932
STUDENT CARPOOL PARKING INFORMATION
All vehicles, except motorcycles and bicycles, parking in SCC facilities must display a valid permit. The permit must be clearly visible to be valid: hang it face out, on the interior rear view mirror,
or, face up, on the driver side of the dashboard. All parking permits shall remain the property of SCC. Transfer or resale of permits is prohibited. The permit holder has only been granted
license to park on campus in a designated area. Space is available on a first-come, first-served basis. No specific space is guaranteed.
IMPORTANT: Transportation Services MAY elect to invalidate this permit if both students are not present in the vehicle upon
entering the parking garage. This permit is only valid for parking in the Harvard Ave. parking garage.
REFUNDS OF PERMIT. FULL REFUND, less $5 fee, if returned before the 6th instructional day of the quarter (FIRST WEEK). Fifty percent (50%) REFUND, if returned between the sixth (6th)
and the fifteenth (15th) instructional day (THIRD WEEK). NO REFUND after the fifteenth (15th) instructional day of the quarter (AFTER THIRD WEEK).
LOST/STOLEN/MISPLACED PERMIT. SCC management is not responsible for lost, misplaced, or stolen parking permit. Please take good care of your parking permit.

NO REPLACEMENT for student CARPOOL parking permits, due to limited availability
.
DISCLAIMER. SCC management declares itself not responsible for fire, theft, damage, or loss of vehicle or any article left in the same. All such risks are being assumed by the permit holder.
LOCK YOUR VEHICLE AND KEEP ALL VALUABLES OUT OF SIGHT.
TERMS & CONDITIONS. By purchasing a parking permit from Seattle Central Community College, the student hereby agrees to abide by all terms and conditions set forth by the Transportation
& Parking Policy, including those stated on this form. The student also acknowledges and understands that any misuse or abuse of the parking permit could lead to the impoundment of vehicle
and suspension of all transportation and parking privileges.
I understand all rules and disclaimers, and I accept these terms and conditions:
__________________________________________________
(Signature of Student 1)
_________________________________
(Date)