Peru State College Visitor Parking Pass

Visitors are welcome on campus.

Please complete this form and a visitor pass will be E-Mailed to you within 24 hours.

If you need your pass sooner than 24 hours please call Security at 402-872-2411

Requested Pass Date Requested Pass Date * / MM / DD YYYY
Name of Visitor Name of Visitor * First Middle Last
Name of Person Completing this form if different from the visitor Name of Person Completing this form if different from the visitor First Middle Last
Email that the visitor pass will be sent to *
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Vehicle Body Style

Vehicle Body Style 2 DR. 4 DR. SUV TRUCK VAN Other Other
Vehicle Color
Vehicle Make & Model
License Plate Number
State of Plate
Name of Student or Employee visiting Name of Student or Employee visiting First Last
Building Visiting
Please provide a description of your visit so a parking pass can be issued for the appropriate parking area on campus. *