FYP/Port Richmond Partnership Van Reservation Request Form Vans will be available for reservation Monday through Friday from 7:30AM to 5:30PM. Please submit requests at least 72 hours in advance to allow time for scheduling. Requests for class trips to locations off of Staten Island should be submitted at least one week in advance. The capacity for each van is approximately 11-12 passengers. We will do our best to accommodate all requests. This van service will only pick up and drop off passengers at the gazebo closer to the Main Gate (security booth) in order to avoid confusion with the ferry shuttle and to avoid congestion with the Early Childhood Center on campus. Step 1 of 4 25% Name* First Last Wagner E-mail* Enter Email Confirm Email Cell Phone*Please select status*StudentFaculty Please provide the reason for your trip.*Will handicapped accessible van be required?*YesNoPlease select pick-up location.*Wagner College GazeboDestination*P.S. 19P.S. 20P.S. 21Port Richmond High SchoolCross Road FoundationNew World PrepMake the Road NYMeals on WheelsDestination Address* Street Address City ZIP Code Date of Departure* Required Time of ARRIVAL at DESTINATION*Please DO NOT provide the time you want to depart from Wagner. You will receive your scheduled departure time when your reservation is confirmed. : HH MM AM PM Please indicate total number of passengers.*Note: Each van accommodates approximately 11-12 passengers. Please enter a number greater than or equal to 1.Please provide the names of all passengers.*Please list each name on a separate line. If reserving for a class, please indicate the name of the class and professor here. Is this a recurring trip?*YesNoStart Date* End Date* Frequency of trip*Daily (M-F)WeeklyPlease select day(s) required for weekly transport* Monday Tuesday Wednesday Thursday Friday Do you require return transportation to Wagner College?*Yes, round-tripNo, one-wayPick-up time for return trip* : HH MM AM PM Please select pick-up location for return trip*Same as destinationPick-up Address* Street Address City ZIP Code Additional InformationCommentsThis field is for validation purposes and should be left unchanged.