Faculty & Staff Parking Application

Select the Academic Year you wish to apply for: *

If Faculty, please list Department:

If Faculty, are you an Adjunct?:

Personal Information

NCU ID#: *

First Name: *

Last Name: *

NCU Email Address: *

Office Phone Number: *

Personal Phone Number: *

Vehicle Information

Motorcycle?: *

Car Make: *

Car Model: *

Car Year: *

Car Color: *

License Plate: *

Do not add spaces!!!

State Registered: *

Additional Comments:

Parking Regulations

I have read the regulations and will abide by them. I am responsible for all of the information in the regulations.: *

yes

To view parking regulations, please visit Parking Regulations.