APPLICATION FOR CAR PARKING SPACES 2017/18

(Please refer to the Eligibility Criteria Information on reverse

before completing this form)

Please complete the following:

Name: Date of Birth:

Full Address: Postcode:

Telephone

Number:

Course:

Car Make/Model:

Student Number:

Email:

Car Registration Blue Badge:

Number: (circle)

Length of journey to UCLan Burnley campus:

Include time taken and number of miles travelled. Students giving incorrect/false info will be disqualified.

Please indicate below which days you require a parking space:

Monday /

Tuesday

/ Wednesday / Thursday / Friday

Please give reasons to support your application for on-site parking:

(Please refer to the eligibility criteria on reverse before completing this section)

PLEASE NOTE:

·  This request will not be considered unless it is accompanied by the relevant supporting information as specified in the eligibility criteria information sheet eg Blue Badge/ Medical Evidence/Course requirements and a copy of your timetable which MUST be signed by your tutor/lecturer

·  If you are allocated a permit, due to the restricted number of car parking spaces available, UCLan cannot guarantee a parking space will be available on your allocated days

·  Vehicles and contents are parked at the owner’s risk

SIGNED: ………………………………………………………………. DATE: …………………………………………

For office use only

Time table provided Authorised by: Date:

Days allocated:

Monday

/ Tuesday / Wednesday / Thursday / Friday

Eligibility Criteria for Student Car Parking 2017/18

Student car parking permits are strictly controlled due to the limited space available at UCLan’s Burnley campus. Priority will be given to students who meet the strict criteria (see below). Students should note that a permit is not guaranteed, even for those who meet one or more of the qualifying criteria, with the exception of blue badge holders who will automatically be eligible to receive a car park permit. Permits are only granted for days when students have timetabled teaching sessions, not for private study. Once issued, the days covered by the permit cannot be amended later. Students should note that Mondays, Tuesdays and Thursdays are the busiest days and it is unlikely that we will be able to fulfill all requests for permits on these days.

Students with a certified mobility/medical condition, will be considered for a permit at the discretion of the FM Property & Performance Manager (UCLan).

All decisions regarding permit allocation made by the FM Property & Performance Manager (UCLan) are final. There will be an administration charge of £10.00 for permits issued to students allocated a parking space. Payments can only be accepted in cash on collection of a permit. Exceptions are blue badge holders for whom permits are provided free of charge.

Qualifying Criteria (in order of priority) / Proof Required
1.  Be a Local Authority issued Blue Badge holder / A copy of your current valid blue badge
2.  Have a mobility/health condition certified by your doctor / A current valid doctor’s letter detailing your mobility problem. Students with a certified mobility problem will be considered for a priority permit at the discretion of the FM Property & Performance Manager (UCLan).
3.  A domestic carer or have dependent children with healthcare conditions under the age of 12 years / Supporting evidence to confirm domestic caring responsibilities, child’s birth certificate, child benefit award letter or passport showing child name and date of birth
4.  Live further than 60 minutes away from UCLan Burnley campus by public transport. / Your address will be checked electronically against a local route map
5.  Special consideration / Please give reasons to support your application for on-site parking. Evidence maybe required

For all car park permit applications, a completed car parking application form and a copy of your academic timetable must be produced. Timetables are available online or from your division/school and must be signed by your tutor/lecturer.

Holders of standard permits are not permitted to park in disabled bays, visitor bays, or in any area that is marked with yellow lines under any circumstances.

Car park application forms will be available from the UCLan Admin Hub (room C106) ONLY, from 31/08/2017. DO NOT COLLECT OR HAND IN FORMS TO STUDENT SERVICES/UCLAN STUDENT HELPDESK/LIBRARY AS THESE FORMS WILL BE VOID.

Completed application forms (plus signed timetable and evidence) maybe handed into the UCLan Admin Hub ONLY from 31/08/2017 until 06/10/2017. Forms handed in after 06/10/2017 will not be accepted. The outcome of your application will be available from the Admin Hub (Room C106) only, from 23/10/2017. Permits must be collected from the Admin Hub by 10/11/2017, otherwise they will be reallocated. (Students who are unable to collect by 10/11/2017 should contact the Admin Hub staff on 01772 896056 or 896055 or e-mail )