COMMUNITY SERVICE TRANSPORTATION

** ONLY REQUESTS RECEIVED ONE WEEK IN ADVANCE WILL BE PROCESSED**

On-line Community Service Van Request Form


Please Read Below: Important Driver Registration Information!!

To drive a Civic House van you must take a driver safety course. Class location/dates are determined by Office of Risk Management and Insurance. Class space is limited.You will not be admitted if you show up on the day of the class and you have not pre-registered. Please note the class will be filled on a first come, first serve basis.
Contact Dominic Johnson at Risk Management with the following information:

·     Name
E-mail address
Group/Department
Mailing address for certificate

Upcoming classes:

October 22nd 9:30am - 12:00pm
                   or
                    1:30pm - 4:00pm

All drivers must have the following documents on file at Civic House:

Copy of Driver's License
Copy of Penn Card
Driver Safety Course Certificate
Completed Van Usage Agreement Form (located at Civic House)

The Community Service Vans are available to the following groups in the following priority order:

  • Registered student service organizations, i.e. members of the Civic House associates Coalition (CHAC). Only “registered” student service organizations that are volunteering with a licensed service-providing agency or school will be permitted to apply for use of the Community Service Vans.


  • The Center for Community Partnerships. The Center for Community Partnerships and its various programs and divisions may also use the Community Service Vans.


  • Departments within the University. Departments of the University which are volunteering with a licensed service-providing agency or school may be eligible to use the Community Service Vans depending on availability.
  •  

Van Reservation Guidelines:

  • Upon approval for Civic House van use, the driver must pick up a Van Authorization Form at Civic House prior to using the van 

  • ALL community service van scheduling and administration is arranged by Civic House. Direct all questions concerning Van use and proceedures to Civic House 3914 Locust Walk (215-898-4831)

  • Vans are parked at Lot #1/Garage #26 at 3219 Walnut Street

  • Van keys may be picked-up and returned to the following locations and at the following times (bring your PennCard):
    Monday - Friday: 7:00 AM - 12:00 AM, Trailer on north side of lot #1
    Saturday-Sunday: 4:00 PM - 12:00 AM, Trailer on north side of lot #1

  • Vans can not be driven outside of the Philadelphia area.

  • The Van Mileage Form must be completed with each van use

  • Failure to comply with Van procedures may result in disciplinary action, up to and including the termination of van access privileges. 

  • Report mechanical failures to Parking and Transportation(215-898-6931). 

  • Any accident involving other vehicles, persons, or property MUST be reported immediately to the appropriate police department, UPENN police (215-898-7297), Civic House (215-898-4831), and Parking and Transportation(215-898-6931)
I have read and agree to the above guidelines set by Civic House for van use.
Contact Information
 
Organization
Contact Person
Telephone
Email
Name of Driver
Driver has completed the University's Driver Training Program
Yes No Don't know
Travel Information
 
Date(s) of Event (For multiple events: mm/dd/yy, mm/dd/yy...)
Depature Time (specify AM/PM)
Return Time (specifiy AM/PM)
Destination
Address
*Street, City, and State are required*

Purpose of Trip & Number of Passengers

* "Service" is not an adequate description: requests for "Service" will not be processed*

   

Please allow one week to process request. If requesting more than one van please fill in separate requests for each van needed.

  Civic House
The University of Pennsylvania's Hub for Community Service and Social Advocacy
 
 
University of Pennsylvannia
Civic House
3914 Locust Walk/6152
215-898-4831 civic@dolphin.upenn.edu