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Student Vehicle Registration
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Contact Information
First Name
Middle Name
Last Name
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
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31
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
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1987
1986
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1981
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1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Student Type
Undergrad
Graduate
Commuter or Dorm?
Communter
Aagard
Balyo
Davidson
PVG
Corban Email Address
Cell Number
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
License Information
Driver's License?
Driver's License?
Yes
No
You must possess a valid driver's license in order to operate a vehicle on campus.
Driver's License State
Driver's License Number
Vehicle Information
Vehicle Make (
Example: Ford, Chevy, Honda
)
Vehicle Model (
E
xample: Explorer, Tahoe, Accord
)
Vehicle Color
Vehicle Year
License Plate Number
License Plate State
Auto Insurance?
Auto Insurance?
Yes
No
Your vehicle must be insured in order to operate it on campus.
Acknowledgement
By submitting this form, you are indicating that you have read the Automotive Regulations for Corban University laid out in
Corban's Student Handbook
and agree to follow them accordingly.
Failure to follow the rules for parking on Corban University's campus will result in corrective actions ranging from fines to loss of driving privileges and/or vehicle impound at the owner's expense.
Submit
