Van Reservation Form

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Averett University
Dean of Students Office

Vehicle Reservation Form

Below is the Averett University Vehicle reservation form. Please note the following before submitting the form:

You must be certified to drive an Averett University Vehicle. Please contact Tammy Jackson at 15620 or tcjackson@averett.edu for more details.
Vehicle reservations should be made at least 48 hours in advance and are made on a first come, first serve basis.
Vehicle keys must be picked up the day of use during normal business hours and returned after use to Tammy Jackson in the Dean of Students Office. Vehicles are parked in the Ascension Lutheran Church parking lot, the Cafeteria parking lot, or near Jut’s Cafe.
All vans must be returned with the same amount of gas in them as what they had when they left the college premises.

First Name *

Last Name *

Email *

Department *

Vehicle pick-up date *

Vehicle pick-up time (include am or pm) *

Vehicle return date *

Vehicle return time (include am or pm) *

If this is a recurring use, please note the days and times you will be using the vehicle each week.

Which vehicle(s) would you like to reserve? *

Van 12
Van 14
Van 16

Reason or event for vehicle use *

How many will be traveling *

Destination(s) *

Approximate Total Mileage *

You should receive confirmation upon completing this form. Please contact Tammy Jackson X15620 or via email: tcjackson@averett.edu, if you have questions about or need to change your reservation.

What month is April Fool's in? (Lowercase only) *

Averett University Dean of Students Office

Averett University
Dean of Students Office