Application for Use of the Designated Public forum You must have JavaScript enabled to use this form. Approved by the SUNY Potsdam College Council on 10/7/16 This application is intended for use by third parties who want to exercise their rights of free speech by using the College’s designated public forum. Applicant Information Name of Applicant Mailing Address City State Zip Telephone Number Fax Number Email Address Speaker Information Name of Speaker Mailing Address City State Zip Telephone Number Fax Number Email Address Date Requested (dd/mm/year) Time Requested Please give time range. For example, 9-11 a.m. Acknowledgements By checking this box, I, the applicant, have read the foregoing policy and agree to comply with the terms of use of the designated public forum as set forth in the Policy. By checking this box, I, the applicant, acknowledge that I am applying to use the designated public forum for free speech purposes, that I will use the designated public forum for free speech purposes, and that I will not use the forum for any other noncommercial uses that require a revocable permit in accordance with the SUNY Policy of noncommercial use of university facilities by third parties and/or commercial purposes that are not allowed on/in College facilities.
