Anonymous Crime Report The following form is for reporting possibile criminal activity to Nicholls State University Police. Special Events Parking Reservation Form Date of Event Date Format: MM slash DD slash YYYY Actual Beginning Time of Event: : HH MM AM PM Ending Time: : HH MM AM PM Name of EventLocation of Event(On-Campus/Off-Campus) Sponsoring Department/Group:Name of Contact Person* First Last PhoneFaxAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email Department Account Number to be Charged (On-Campus Sponsor):If you are a university department requesting PAID PARKING, you must also submit an overtime form with an authorizing signature to The University Police Department.Services Requested:I request that a parking lot be reserved for this event and will pay the charges for personnel assigned to secure and monitor the parking spaces. I understand that charges will begin prior to the event start time as needed to secure and monitor the lot.I understand and agree to the aboveI do not want to reserve a lotRequested Parking Areas:(Choices of parking lots that can be reserved) Day Events (8:00am to 4:30pm) Night Events (4:30pm till...)Day Event - Stadium Parking LotDay Event - Library Parking LotNight Event - Student Union Parking LotNight Event - Library Parking LotEstimated Number of Vehicles:Estimated Number of Cars:Estimated Number of Buses:Loading Zones Needed:YESNOExplanation of parking/unloading needs:Visitor Passes:I do not want to reserve a lot for this event. I would like visitor passes sent to me. I will be responsible for distributing visitor passes for this event (Email/mail the passes to the above address). Request must be made at least two weeks in advance.By selecting here, you are stating that you DO NOT want to reserve a lot. I understand & do not want to reserve a lot Required Minimum Parking*I understand that a lot will not be reserved for events requiring less than 40 spaces. Visitor parking passes will be issued to the event sponsor. I understand that Parking Services must be contacted by email: email@example.com or phone (985)448-4942 to have passes issued. Request must be made at least two weeks in advance. I agree and understand the above Designated Street ParkingAny designated street parking, requests for less than forty spaces, or any additional special requests will require approval by the Parking Office Justification of special requests: This iframe contains the logic required to handle Ajax powered Gravity Forms.