Freedom of Assembly and Expression Request Form

Freedom of Assembly and Expression Request Form

Capital Planning and Space Management
Lyman Hall / Emerson Bldg. Room 125
Mail Code 0690
Phone (404) 894-4802
Fax (404) 894-3645

Individuals who reserve GT Campus Space for Freedom of Assembly and Expression must adhere to the following campus policies:

Obstructing access to and egress from campus buildings is prohibited.
Individuals or groups may not impede passersby or disrupt normal Institute activities.
No interference with other authorized or scheduled Institute activities.
Refrain from actions that are likely to create an imminent safety or health hazard.
Flyers on walls, light poles, trees, or on other Institute property, not designated for posting purposes, is prohibited.
Public speech that is likely to incite or produce imminent lawless action or under the current legal standards is either defamatory or obscene is prohibited.
Individuals who damage or destroy Institute property shall be held responsible for such damage or destruction. This includes the campus lawns, shrubs, and trees.
A request for use of free speech areas may be denied if an Institute official determines that the proposed speech/activity will constitute a clear and present danger to the Institute’s orderly operation.
All applicable Institute regulations, state and federal laws and municipal ordinances should be followed when engaging in activities on campus. Failure to do so may result in immediate removal from the campus and any other appropriate action deemed necessary by Institute officials and/or Institute Police.

The authorized representative/and or person in charge is required to review, acknowledge and comply with these administrative procedures and guidelines; to acknowledge that the Institute will not be held responsible for the actions of participants in the assembly, demonstration or protest; and agree to make restitution for any litter, personal, or property damage that occurs due to the activity. Submission of this form indicates that you have read and agree to these freedom of expression and assembly guidelines.

Please submit this form at least three business days prior to the event. Once your event request has been processed, and the space you requested confirmed, you will receive a space use confirmation. The confirmation will state the name of the event, date, time, location and the name of the requester.

Space is not reserved until you receive an e-mail confirmation.

Organization Information:

Name of Organization:
Type of Organization:
Contact Person:
E-mail Address:
Address:

Phone:

Event Information:

Event Title:
Event Description: (i.e. speech or rally, march, picketing, distribution of literature, etc.)
Will you have a speaker?
Name of Speaker:
Topic:

Requested Dates and Times:

Date	Start time	End time	Special Instructions


Other information or questions pertinent to the event:

Estimated Attendance:

If this event is being co-sponsored, list other group(s) and describe their involvement:

Services:

Equipment can be leased from an off-campus vendor, however Georgia Tech is not responsible for equipment that is lost or stolen.

Amplified Sound:

The use of microphones, megaphones, or amplified sound of any kind is strictly limited to Tuesdays and Thursdays between 11:00am an 12 noon only.

Please indicate if you will use amplified sound during the regularly scheduled hours noted above. List type.

I understand the guidelines for use of amplified sound on the GT campus.

Clean up:

Organizations that use campus space for meetings and events should leave areas clean and free of trash.

Form Submission :

I agree to abide by the guidelines indicated in this document for use of the Free Speech Area on the campus of the Georgia Institute of Technology.

Once all information is entered, please click submit button below.