The University of Memphis
Employee Request for Priority Parking Waiting List
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Requester Information
Banner ID:

Last Name:   

First Name:

Address:    -
                    Street or Box/City/State/Zip
Home Phone: -      Work Phone: -
Employment Information

Dept:     Title:

Bldg:  Room:    

Hire Date:

Employment: Permanent Full Time Temporary Part Time

Employer: U of M     Other-Contract, etc. (Not paid by U of M Payroll)

Lot Choices: 1st:  2nd:  3rd:      All Day Evening Only (After 4:30 PM)

Parking Services will contact employee via University e-mail when space becomes available. Employee must respond within five working days or space will be offered to next person on waiting list.

Employee Signature: ___________________________   Date _________________

The University of Memphis is an Equal Opportunity/Affirmative Action University.
It is committed to education of non-racially identifiable student body.