Public Assembly and Solicitation Form
Individuals or groups interested in speaking and/or distributing written materials on Vance-Granville Community College campuses must provide advanced notice by completing this form and submitting to: April Perkinson, Executive Assistant Vance-Granville Community College Office of President. Notice must be provided at least two weeks prior to the desired date.
Nature of Activity
*
Speaking
Assembly
Distribution of Materials
Intent to Photograph, Audio Record, or Video Record
Other
Date(s) and Time(s) of Planned Activity
*
Responsible Person - [The representative must be able to serve as a responsible party for check-in with campus police or other college designee upon arrival to the campus for the assembly]
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Complete Details of the proposed activities including any materials, actions, content, and names of speakers
*
Number of Participants to be in Attendance
*
Location Requested
*
Main Campus - central courtyard OR patio/sidewalk between Buildings 5 and 6
Franklin Campus - outside entrance to Building 3 and in between Buildings 4 and 5
South Campus - courtyard in front of Central Entrance
Warren Campus courtyard between Buildings 2, 3, and 4.
Any other information pertinent to understanding the nature of the assembly
*
Signature
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
For more information please see the Policy 2.E. Free Speech, Public Assembly, and Distribution of Literature and Policy 2.M. Solicitation
Submit
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