Van Checkout Request

Van Checkout Request
Faculty/Staff Name*
Faculty/Staff Email:*
example@example.com
Request-Date/Time*

MonthDayYear
DateHourMinutesAM/PM Option
Enter the location where you are driving the van.*
Please list the sport, club or department that the van(s) will be used for.*
Departure Date*

MonthDayYear
Date
Departure Time (est.)*

:HourMinutesAM/PM Option
Return Date*

MonthDayYear
Date
Return Time (est.)*

:HourMinutesAM/PM Option
Total Number of Vehicle Occupants (Students & Drivers)*
Number of Bench Seat Vans Needed*
Name(s) of Van Driver(s) - please list First and Last Names.*
After making this request, Kristy Gitmed will be letting you know if he has a conflict and the van is NOT available.

Otherwise, please pick up the keys in the Business Office.

All vans MUST be returned to their original spot. Leaving vans in either parking lot is not acceptable. The fire lane gate code is given when picking up the keys.

Please clean out the van and return the van full. See the Business Office if you don't have your gas card information. A fuel receipt MUST be printed and brought to the Business Office.

Drop the keys in the faculty room drop box upon your return.
Xavier College Prep*
Should be Empty: