Hayworth College at Queens
 Undergraduate Commuter Parking Registration Form

(This form should only be used by Hayworth College undergraduate students)

Please complete all of the following information.

Full Name: Last:    First:      Middle Initial:
Full Home Address:
City:      State:      Zip Code:
Cell Phone:
Classification: Undergraduate Student  Graduate Student  Faculty
Major:
  Hair Color: Eye Color: Birthday:
Sex: Male Female

Vehicle Information:
License Plate Number:   State:   Tag Expiration:
Driver's License Number:   State:   Expiration:
Vehicle Type:   Make:   Model:   Color:
Registered Owner:   Relationship:

By clicking the "submit" button below, you certify the above information to be true and correct and agree to abide by the parking regulations of Queens University of Charlotte.

 

 
 

Queens University of Charlotte  1900 Selwyn Avenue  Charlotte, NC  28274
Modified by Hayworth Webmaster