Emmanuel College Student Demonstrations Registration Form This form must be submitted to the Office of the Vice President for Student Affairs (334 Administration Building) 2 business days in advance of the demonstration date in order to register. Student Leader Name: _______________________ Student Identification #__________ Email: _____________________________________Phone # ______________________ Group Name: ________________________________ Number expected: ____________ Description of Demonstration: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Date of Demonstration: ____________ Start Time: __________ End Time: __________ Location: _________________________________ I, ________________________________, representing __________________________ acknowledge and agree, in the interest of safety and the maintenance of routine educational and institutional activities, demonstrations and expression of dissent on Emmanuel property shall not: 1. 2. 3. 4.
5. 6.
Endanger the safety of any person on the Emmanuel campus. Result in the defacement or destruction of property owned or leased by Emmanuel Deny or infringe upon the rights or result in harassment of other students, faculty, staff, or guests of the Emmanuel community; Disrupt or interfere (by volume, number of participants or banners, placards, leaflets or other types of written message) with College activities including but not limited to teaching, research, administration, resident students right to sleep and study, campus services, discipline, organized and/or sponsored events, and operation and maintenance of any property owned or controlled by Emmanuel. Obstruct pedestrian movement or vehicular traffic on the campus or Emmanuel property owned or leased off campus. Deny or obstruct use of offices or any facilities used by students, faculty, staff or guests.
Only members of the Emmanuel community are permitted to organize and lead a demonstration. Any violation of this policy will be considered a violation of the Student Code of Conduct and will be actionable to sanctions imposed in accordance with the judicial procedures of Emmanuel College. Signature: _______________________________________ Date: _________________
Office Use Only: Received by: ____________________________________ Date: __________________ In the event that a protest or demonstration is denied, the student or student group may appeal to the Steering Committee on Supporting a Diverse and Inclusive Community chaired by Carolyn Caveny, Senior Associate Dean. 35