Permit to Assemble
Request Form
Requested assembly date
*
-
Month
-
Day
Year
Date Picker Icon
Time of assembly
*
Hour Minutes
AM
PM
AM/PM Option
Estimated number of participants
*
Assembly locations (select all that apply)
*
Main campus college center
Main campus gymnasium main
Main campus front flag poles
Campus VIP parking
North extension center north side parking
South extension center designated parking spot
Manufacturing & industrial tech east lawn
Requester Name
*
First Name
Last Name
Student ID
*
Student email
*
example@example.com
Reason for assembly
*
Please describe the event in detail. Please also list anything that you plan to bring to the event (e.g. flyers, signs, audio equipment).
*
Physical accommodations (e.g. tables & chairs)
*
If granted the permission to peacefully assemble, I will do all that is in my power to ensure that the Kankakee Community College Campus Expression Policy is upheld. In no way will the assembly disrupt college operations.
*
I agree
Submit
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