spacer Bowie State University logo  
spacer
home about academic community prospective students offices and services research community groups
spacer
Home > About BSU > Administration and Finance > Office of VPAF > Carpool > Carpool Registration
spacer

 Carpool Registration Form  

The information collected here is strictly confidential and used for ride matching purposes only. By providing this information you are consenting to share your first name, last initial, phone number, and e-mail address with other potential carpool participants.  

  First Name:                                           

  Last Name:                                            

   Gender:                                                  

   Participant Type:                                 

   Phone:                                                     --

   Email:                                                      

   Form of Contact Preferred:                 

   Street Address:                                    

   City:                                                     

   State:                                                     

   Zip:                                                         

   Arrival Time at Destination:               : BSU is final destination

   Departure Time from Destination:      : BSU is departure spot

  Day of Week Carpool is Needed:              Select day of the week, then press Ctrl and Click to select multiple days

  Carpool Preference:                             

  Existing Car Size:                                

  How did you hear about this program?

 

 When you click on Save Submit button, you will get two pop-up windows, on the first window please click "Ok" and on the second window click "yes". This is needed to authenticate the participants. Thank you

   You can also print and fax this form to (301) 860-3513, Attn: Carpool. Thank You

 
spacer    
spacer For questions and comments about this site please email webmaster@bowiestate.edu.
spacer Bowie State University 14000 Jericho Park Rd Bowie MD 20715-9465    (301) 860-4000 or 1-877-77-BOWIE    Get Directions