12.07.2015 Views

student handbook - Baton Rouge Community College

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<strong>Baton</strong> <strong>Rouge</strong> <strong>Community</strong> <strong>College</strong>FREE SPEECH STUDENT APPLICATIONAll activities must be scheduled at least three days in advanced.Date Submitted:__________________*Requested Date/Time of Activity:__________________*Monday-Thursday 11:00 a.m.-1:00 p.m. and 5:30 p.m. - 7:30 p.m. andFriday 11:00 a.m.-1:00 p.m.Submitted by:________________________________B#:_______________Contact Student:_ ____________________________B#:_______________Contact Student Primary Telephone:______________________________Email:_______________________________________________________Alternative Telephone:__________________________________________Alternative Email:______________________________________________Street Address:________________________________________________City:_____________________________ State: _____ Zip Code: _ ________Organization:_ ________________________________________________Anticipated Number of Activity Participants:________________________Title of Activity:_______________________________________________Briefly describe event/activity:___________________________________________________________________________________________________________________________________________________________99

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