TEST – Permit Application Posted on May 12, 2016 by Website Manager Parking Permit Application Applicant InformationApplicant Name* First Middle Last Banner Number*For security purposes, please do not enter your social security numberEmail* Phone*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Please use a proper mailing address to receive your permit.Permit Type*CommuterResidence HallFacultyStaffExternal AgencyIf external, list agency namePrimary Vehicle InformationPlease refer to your vehicle's registration for the following information. Vehicles which have a specialty license plate (i.e. Saints, NSU, etc.) must enter the license plate exactly how the registration lists it. If all fields are not filled in, you may not receive a permit. If you do not have a permanent license plate, you cannot receive a permanent decal and you must come to our office for a temporary permit. Employees using more than one vehicle should register the second vehicle by sending a separate e-mail to parking@nicholls.edu listing the same information as required below.License Plate*License Plate State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Vehicle Color (primary)-- Select One --BlackBlueBrownBronzeGoldGrayGreenMaroonNavy BlueOrangePinkPurpleRedSilverTanWhiteYellowVehicle Color (secondary)noneBlackBlueBrownBronzeGoldGrayGreenMaroonNavy BlueOrangePinkPurpleRedSilverTanWhiteYellowVehicle Body Type-- Select Vehicle Type --Two Door (Coupe)Three Door (Hatchback)Four Door (Sedan)Five Door (Hatchback)TruckVanConvertibleSUVStation WagonVehicle Year*Vehicle Make*-- Select Vehicle Make --AcuraAlfa RomeoAudiBMWBuickCadillacChevroletChryslerDatsunDodgeEagleFiatFordGeoGMCHondaHummerHyundaiInfinitiIsuzuJaguarJeepKawasakiKiaLandroverLexusLincolnMazdaMercedesMercuryMini CooperMitsubishiNissanOldsmobilePlymouthPontiacPorscheRenaultRolls RoyceSaabSaturnSmartSpectrumSubaruSuzukiToyotaVolkswagenVolvoYamahaOtherVehicle Make (other)Vehicle Model*Permit Delivery and Payment InformationMethod of delivery for permit*US MailCampus Mail (employee only)All students must choose US Mail. Employees may choose Campus MailDepartmentCampus BuildingRoom/LocationEmployee Campus PhoneAssessment Option*Students: I allow Parking Services to charge my student account $50.00 for this permitEmployees: I allow Parking Services to deduct $50.00 from my payroll for this permit (Nicholls employees only)