Loyola University Maryland

Center for Community Service and Justice (CCSJ)

CCSJ Vehicle Request Form

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Important reminder: Before you proceed with this request form, make sure you and/or the driver is an authorized driver. See the instructions for becoming an authorized driver.

If this is your first time using Loyola vehicle through CCSJ, you need to obtain a "Motorpool Emergency Procedures Card" either from your service coordinator or at the CCSJ front desk. This wallet size card need to be kept with you at all time while driving a Loyola vehicle. You will be asked to show the card when picking up the vehicle at the Motor Pool office.

All fields marked with an * are required.

Contact Information

(for the person completing the form)

*
*
*
This email will be used for all approval notifications.
*
I am the primary driver:

*
Vehicle Request Information

(driver information)

*
*
*
*
*
Include Primary Driver's Email Address for Approval Communication Emails?*

*
Include Alternate Driver's Email Address for Approval Communication Emails?

Proposed Use * (must be for Community Service or Service-Learning through CCSJ):


*
Service-Learning Only
Vehicle Departure/Return Dates
Is this a one-time use or recurring use?

*
Use this field for recurring vehicle Departure/Return Dates (Please DON'T just write "Every Tuesdays" or "Every Thursdays", but specify the dates, and separate them by "comma", i.e. 11/5, 11/12, 11/19, etc. Make sure you skip the holidays or breaks dates)
Please specify AM/PM and consider travel time.
*
Please specify AM/PM and consider travel time
*
*
*