Charter Bus Information Form

Villanova University

Department of

Public Safety

Villanova University

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CHARTER BUS INFORMATION FORM

Please use this form to request permission for a charter bus to pick-up and drop-off students on campus.

When you submit this form copies will be electronically sent to the Department of Public Safety and the Office for Greek Affairs. A representative from one of these departments will contact you by email in response to your submission.

Name of Organization: *

Name of Contact Person (First, Last): *

Contact's Email Address: *

Contact's Phone Number: *

Names of Bus Monitors * (Please separate multiple names with a semi-colon)

Date of Requested Charter: *

Trip Destination: *

Destination Address: *

Time of Departure (hh:mm): * AMPM

Time of Return (hh:mm): * AMPM

Number of Buses Requested: *

Location of Pickup: *

Location of Drop-Off: *

Charter Bus Company's Name: *

Charter Bus Company's Address: *

Charter Bus Company's Phone Number: *

Charter Bus Company's Contact: *

Use this area to describe any other information:

(You will receive a confirmation page upon successful submission of this form)

A * denotes a required entry

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Last Modified: Wed Jun 20 13:36:52 EDT 2007
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