It is the student's responsibility to accurately complete this form. Refer to your class schedule. Student ID # Last Name First Name College Email Phone Number Location of Pick-Up Schedule Requested One-Time Weekly Start Date End Date Ticket Number Course Name e.g. ECON 1, MATH 253 Instructor's Name (Optional) Class Days Monday Tuesday Wednesday Thursday Friday Saturday Start Time Cart Drop-Off Classroom Number Cart Accommodation Agreement I agree. I understand that I should be at the pick up location 10 minutes before class time and the use of this service is only for approved academic purposes. Leave this field blank
