Lee Honors College Vehicle Usage Contract

Please complete and submit this contract upon approval of your request to rent the honors college van(s). 

I have read the Procedures and Policies for Use of Lee Honors College Vans and hereby agree to comply with these procedures and policies. I also understand that any violations of vehicle usage policies and procedures may result in disciplinary actions from the Lee Honors College and/or Western Michigan University. By signing this document, I confirm that I understand that I:

•Have a valid U.S. driver’s license and must provide a photocopy of the license when I pick up the key;

•Am a faculty, student or staff member at Western Michigan University;

•Am at least 18 years of age; 

•Must provide an approved Â鶹ÉçTravel Authorization in order to be issued keys to any Lee Honors College vehicle.  Provide a list of all passengers, including their email addresses and WINs.

•The fund and cost center for the unit/department renting an LHC vehicle will be charged the $5,000 deductible in the event of damage to the vehicle, as well as the rental cost of the vehicle.

•Am responsible for the cost of replacing the key if it is lost.

•Will remove all trash from the vehicle.  A cleaning fee of up to $500 will be charged to the fund and cost center for the unit/department renting an LHC vehicle if professional cleaning is required.

•Will refill the gas tank to the full, or will be charged to the fund and cost center the cost of fuel. 

•Will return the key promptly so that others will have access to the van.

•Will pick up keys between 8 a.m. and 5 p.m. Monday-Friday.

12 person van ($85 per day or $450 weekly)
7 person minivan ($45 per day or $250 weekly)
Driver? (required)
Drivers are required to provide a copy of their license.
LHC Student? (required)
Driver?
Drivers are required to provide a copy of their license.
LHC Student?
Driver?
Drivers are required to provide a copy of their license.
LHC Student?
Driver?
Drivers are required to provide a copy of their license.
LHC Student?
Driver?
Drivers are required to provide a copy of their license.
LHC Student?
Please upload a list of additional passengers or drivers including first and last name, email, WIN and LHC student status information.
One file only.
2 MB limit.
Allowed types: txt, pdf, doc, docx, xls.