Request for Mines Facility Use for Public Speech Activities

Please note the following:

a. This form is for external entities wishing to exercise the right to free speech on the Colorado School of Mines campus
Public Speech Activity on the Colorado School of Mines campus is governed by the Campus Free Speech policy.

b. The acceptable use of the Colorado School of Mines property and facilities is outlined in the Facilities Use Procedures.

c. This form must be submitted a minimum of three (3) business days prior to the planned event.

d. Submission of this form does not constitute a space reservation. This form will be reviewed and then forwarded to the Conference and Event Services department to secure a space. If all of the tabling spaces are already booked, they will work with you to find an alternate date..

Requester's First Name:*

Requester's Last Name:*

Organization Name:*

Organization Address:*

Organization Website:

Phone Number:*

Email Address:*

Requested Date(s):*

Start Time:*

End Time:*

Estimated Number of Attendees:*

LOCATION INFORMATION:

a. Public speech activities such as tabling are designated to take place on Maple Plaza, which is located between the Ben Parker Student Center & the Student Recreation Center.. Other designated outdoor locations are often available free of charge for public speech activities such as protests. Colorado School of Mines does not provide furniture outdoors for such events.

b. Public speech activities may also take place by reserving a table in the Ben Parker Student Center atrium lobby for a daily fee of $200.00 for outside organizations. (Mines students are not subject to the daily fee.)

1) Location Preference*

Please select your location preference from the list below.

Maple Plaza; located between the Ben Parker Student Center & Student Recreation Center (preferred public speech activity space)
Ben Parker Student Center; South Atrium lobby

2) Purpose of Event:*

3) Description of your event (include planned activities):*

4a) Are you requesting to have amplified sound? (This includes portable sound systems, DJ, etc.)*

Yes
No

4b) If you answered "Yes" to 4a, please provide details below:

5a) Will the event involve free distribution or sales of books/other literature?*

Yes
No

5b) If you answered "Yes" to 5a, please provide details below:

6a) Will the event involve vending, sales or distribution of any products?*

Yes
No

6b) If you answered "Yes" to 6a, please provide details below:

7a) Will food and/or beverages be served?*

Yes
No

Note: Mines Dining & Flavours by Sodexo have exclusivity to food and beverage distribution in the Ben Parker Student Center & Student Recreation Center.

7b) If you answered "Yes" to 7a, please provide details below:

8) Please provide any additional comments or questions below:

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