New Submission

Yearly Permit is intended for students, faculty, and staff that will be parking on Bartlesville campus.
OKWU ID number:*field type single line
For example "000012345" (This can be found on an ID card, or official statements from OKWU starting with 0s. NOT your Social Security number.) Please contact the Registrar office if you do not know it - registrar@okwu.edu
Input blocked. Maximum character limit of 9 characters reached.
Date of Birth:*field type date
The OKWU ID number or the date of birth you entered does not match the record in our system. Please try re-entering the information again and click Auto Fill. If that doesn't show you the rest of the form, please get in touch with the Registrar office to confirm your ID number and that we have a correct date of birth on file for you: registrar@okwu.edu or 918.335.6269

Permit User Information

First Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Last Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
University Role:*field type drop-down
Email:*field type email
You will be sent an email with instructions on how to obtain the Permit after you submit this request.
Car on campus?*field type drop-down
Hidden Addr Typefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Hidden Addr Statusfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Academic Term*field type drop-down

Address on record

This is the address that we have in our student information system. Changing this address will not change the address in the system. Please see the Registrar office to update your address. If country is missing from this form, please contact 918 335 6269.

	Street Address*field type single line	Address Line 2field type single line	City*field type single line	Statefield type drop-down	Zip/Postal*field type single line	Country*field type drop-down
row 1	Street Address*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Address Line 2field type single line Input blocked. Maximum character limit of 4000 characters reached.	City*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Statefield type drop-down	Zip/Postal*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Country*field type drop-down

Phone number:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Do you live on Campus?*field type drop-down
Residence Hall:*field type drop-down
Dorm room number:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.

Vehicle Information

Academic Year:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
License Plate #:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
State of Registration:*field type drop-down
Year:*field type single line
Input blocked. Maximum character limit of 4 characters reached.
Make:*field type single line
Example: Honda
Input blocked. Maximum character limit of 4000 characters reached.
Model:*field type single line
Example: Accord
Input blocked. Maximum character limit of 4000 characters reached.
Color:*field type drop-down
Handicap?*field type drop-down
Have you ever been issued an OKWU parking permit?*field type drop-down
If you are a new student, select No.

Signature

I have read and agree to the OKWU Parking and Safety Terms and Conditions: https://www.okwu.edu/residential/campus-safety/parking/ and, if student, in the Student Handbook: https://www.okwu.edu/registrar/, and, if staff, in the Staff Handbook: located on the Public Drive under Handbooks.
Signature:*field type signature
Datefield type date
Date will be captured on form submission

OKWU Parking and Safety Permit Request