Student Affairs

Organization/Person making application

Person Responsible

Telephone

Address

Purpose of Use

Please list names of persons who will be on campus specifically for this event.

Date and time of Program

Free Speech Area Requested: (Please select one)

Plaza Adjacent to the Water Feature and Faculty Row

At the Tommy Hawk statue on the University Center Lawn

I hereby acknowledge I have reviewed the UNCP Free Speech and Event Policy and I am aware that I am bound by those policies, state, and federal law.

Applicant Name

APPLICATION MUST BE SUBMITTED AT LEAST 24 HOURS PRIOR TO THE FREE SPEECH EVENT.