NWACC - Parking Form

Future Students

Current Students

Faculty & Staff

Visitors & Alumni

Regional Technology Center

Washington County Center

Institute for Corporate & Public Safety

Site Index

NorthWest Arkansas Community College Parking Preferences

All fields are required!

Use the tab key or your mouse to move between fields.
Using 'enter' will submit the form.

Note: All students, faculty, and staff who park in Burns Hall or the Garage are required to have hangtags. Vehicles without hangtags will be ticketed. See Parking Policy for additional information.

This form is for employees ONLY!

First Name:
Middle Initial:
Last Name:
Department:
Employee ID:	(Do not enter your SSN. Employee ID is located on pay check.)
Telephone:	(Format example: 479-619-0000)
Email Address:
Employment Type:	Full-Time Part-Time

Parking Selection (see maps):	12 Months

Faculty/Staff Parking-General Burns Hall Surface Lots	$5.00
Reserved/Numbered Parking
Burns Hall East Lot	$245.00
Burns Hall West Lot	$245.00
Student Center West Lot	$245.00
Garage	$275.00

Yes No	This is a renewal of my current parking selection for this upcoming year.
Yes No	I am a new employee OR this is a change of my parking preferences.

	I authorize payment by payroll deduction. I understand that a one-time deduction of $5.00 will be made for general faculty/staff parking. For reserved/numbered spaces, payroll deductions will be made in 24 installments.
Please validate that you are not a spam bot 2 + 9 =

For questions/comments on this form, please contact Sean Lucero.

This page was last updated on:

NorthWest Arkansas Community College, One College Drive Bentonville, AR (479) 63-NWACC (479-636-9222).
We also have locations in Washington County and Bella Vista.
Copyright © 2009, NorthWest Arkansas Community College. All rights reserved. | Site Index