Department of Public Safety

Chalking AND Posting Request Form

Instructions:

1. Please read and understand the Advertising (Chalking and Posting) on Campus Regulatory Procedures included with this form. Your submission of this form indicates your understanding and agreement to comply with the terms and conditions detailed in the above policy.
2. Submit a separate application for each event.
3. Student clubs/organizations: Prior to completing and submitting this form, a UCCS Student Government Association "Event Proposal" form must first be submitted to and approved by the UCCS ROAR Office.

Information About You

Date Submitted:

Department or Student Club/Organization Name:

Department Head:

                              Contact Phone#: Contact e-mail:

Responsible Party:

  Responsible Party Campus Mailing Address:

  Responsible Party Phone Number:

Information about the event

Request is for(please indicate by checking a box)

Chalking: Posting: Both:

Event Date(s):

Requested Posting/Chalking Start and Ending Dates:

Event Title:

Student Clubs/organizations: A UCCS SGA "Event Proposal" form has already been submitted and approved by the UCCS ROAR office.

Yes: (required)

Chalking Request

A diagram of the proposed chalking may be submitted and attached with each request. Please mail the diagram to jspice@uccs.edu

Posting Request