Reserved Parking Space Request Form

All fields must be filled in with the correct information. (N/A and blank fields are unacceptable and will cause your request to be rejected).

If you do not have a parking sticker on your vehicle, do not submit this form until you get one from the circulation desk at the EJW Library.

If you have any questions about filling out this form, please call Tammy Terihay at 817-531-4454.

Employee Information
Name:

Wesleyan ID:

Hire Date:

Work Phone:

Work Email:

Department:

Building:


Vehicle Information
Parking Sticker Number:

Year:

Make:

Model:

Color:

State:

License Plate:


Vehicle 2 Information
Parking Sticker Number:

Year:

Make:

Model:

Color:

State:

License Plate:


Contact Information

Facilities Department
Main Phone: 817-531-4454
Fax: 817-531-4455
Main Phone Hours:
Mon-Fri, 8am-5pm
Emergency/After-hours:
817-531-4911

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A Methodist Institution Since 1890
1201 Wesleyan Street | Fort Worth, TX 76105
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