After submitting this form, please pick up your permit in Student Services, located on the first floor of the Everett Dick Administration Building, northeast corner. Name * E-mail * Union User ID * Generally the first two letters of your first name and first six of your last. Make of Car * For example, Chrysler, Volvo, Toyota ... Model of Car * For example, Focus, Mini Cooper, El Camino ... Year of Manufacture * Color * License Number and State * Residence Status * - Select -Cooper PlaceDormVillageEmployee "Village" includes all apartments owned by Union other than Cooper Place as well as any other off-campus residence. I agree to release the information on this form to Student Services at Union College. They may be contacted at 402.486.2507. * I understand and agree to the statement above.