Grambling State University – Student Government Association
OFFICE OF TRANSPORTATION
Stephon Wilson, Director Raven Nichols, Assistant Director
Favrot Student Union Suite 208, GSU Box 4221 Grambling, Louisiana 71245
Phone: 318.274.4095 Fax: 318.274.4004 Email: studenttransportatio@gram.edu
Today’s Date: Requestor name:
Contact No. Email:
Group, Organization, or Activity:
Number of people being transported (see page 2 to list):
Day/Date of Pickup: Time of Pickup:
Day/Date of Return: Time of Return:
Authorized driver’s name(s), phone #, and email:
Purpose of Travel: Destination(s) (City/State):
Account number to be charged:
Authorization to charge account/department:
Copy of Authorization Record of Driver: Yes No (Circle one)
The fifteen passenger vans (including the driver) are for University related activities and local and state travel
only. The maximum radius is 250 miles without additional approval, in which case, please allow 1 week for
additional approvals. A maximum of 2 vans may be served at one time.
Vehicle requests must be received at least 3 business days in advance. Requests will not be considered unless
all the information above is complete. If any information is incomplete or missing, the form will be denied
and returned to the requestor. All drivers must pass the Defensive Driver Training and provide a valid copy of
their driver’s license to Facilities Management prior to requesting a vehicle. Vehicles must be picked up by
the approved driver listed only. Drivers need to show their valid driver’s license and the approved copy of
this form. If you are picking up or returning a vehicle, the driver(s) must follow the instructions given to them
by the Transportation Coordinator. The University reserves the right to remove any person from the driver
list for any reason, including violating the University’s policies and procedures.
Cancellations or changes should be made 24 hours in advance. Failure to notify Facilities Management the
Office of Student Transportation or the Office of Student Affairs will result in a usage charge equal to the
number of days that the vehicle was requested (i.e., 2 days at $50/day is a $100 charge). The University also
