Students,
faculty, and staff who have mobility impairments, temporary or permanent, may
be eligible to use the FSU Accessible Van. Priority will be given to those individuals
with permanent mobility impairments, but every effort will be made to
accommodate those with temporary impairments.
Potential riders
must complete an application (which can be obtained at the
The van is only
for on-campus transportation.
Transportation to and from campus is the sole responsibility of the rider.
FSU Accessible Van Rules and
Regulations
1. You
must complete the application and be approved in order to be eligible to ride
the FSU Accessible Van.
2. In
order to ride the FSU Accessible Van, you must call 24 hours in advance or set
up a permanent schedule. You must submit
a written request for a permanent schedule.
3. The
maximum time the van will wait for a rider is five minutes. Please be on time!
If you repeatedly fail to show for a ride, you will be given verbal, a written
warning, then removed from the list of eligible riders.
4. No
eating, drinking, or use of tobacco products in the van.
5. You
must wear seatbelts at all times. Riders
who use wheelchairs must also use a personal seatbelt that secures them in the
chair.
6. Only
faculty, students, and staff who have disabilities may ride the van.
7.
The driver has the final say in any
decisions made enroute. Any disruptions
and/or inappropriate or abusive behavior WILL result in the discontinuing of
van services and will be reported to the FSU Office of Student Rights and
Responsibilities.
If you have any questions
or concerns regarding the FSU Accessible Van, please contact the
The van service
is complementary. The university is NOT required to provide van
transportation. But because the
university encourages full participation of all students, faculty and staff,
this complementary service is provided.
All riders are encouraged to be respectful of the service and the
service providers.
RIDER APPLICATION
Last Name: _________________________
First Name: _________________________
Address:
_____________________________________________________________________
E-mail: ______________________________
Student ID#:
_________________________
Main Phone
Number: ____________________
Alternate
Phone: _______________________
Reason for
Service Request:
____________________________________________________
Is this disability temporary? YES NO
Expected
Duration of Service:
_________________________
FSU
Affiliation: Student Faculty
Staff
Do you use any of
the following mobility aids? Schedule: Need for Services
(Check all that
apply)
Monday:
_____________________
Manual wheelchair Service Animal
Tuesday:
_____________________
Power wheelchair Cane
Wednesday:
___________________
Power scooter Crutches
Thursday:
____________________
Friday:
_______________________
Additional
Information:
____________________________________________________________________________________________________________________________________________________________________________________________________________________
I hereby certify
that the information given above is correct.
I am an FSU student, faculty, or staff member. I have read the rules and regulations of the
FSU Accessible Van and agree to abide by them.
________________________________________ ________________
Signature Date
________________________________________ _________________