Pay-As-You-Go Parking Account Application

Name Name First Last
Simmons ID Number
Phone Phone - ### - ### ####
Simmons Email
Affiliation with the University
Please Confirm

Please Confirm I have read and understand the Simmons University parking policy, rules and regulations as listed at www.simmons.edu/parking. I understand that failure to comply with these rules and regulations may result in the revocation of parking privileges.
Please allow 1-2 business days for your application to be processed.

Please note that all applications made through this online form are subject to approval before processing. If you do not meet the requirements necessary to park then your application will not be approved.

Upon approval of your application you will receive an email confirmation with instructions on how to provide payment information
Type the letters you see in the image below.