Indicates required field Name of Group Name of Group Date and Time of Demonstration Date and Time of Demonstration Date and Time of Demonstration: Date Date and Time of Demonstration: Date Date and Time of Demonstration: Time Date and Time of Demonstration: Time Rain Date and Time Rain Date and Time Rain Date and Time: Date Rain Date and Time: Date Rain Date and Time: Time Rain Date and Time: Time Location Location Subject or Objective of Intended Demonostration Subject or Objective of Intended Demonostration Projected Number of Attendees Projected Number of Attendees How Will This Event be Advertised? (include links to flyers and social media pages) How Will This Event be Advertised? (include links to flyers and social media pages) Point of Contact Information Name of Group Representative First Name First Name Last Name Last Name RIN RIN Email Email Telephone Number Telephone Number Address Address Address Address 2 Address 2 City/Town City/Town State/Province State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code ZIP/Postal Code Letter of Intent Letter of Intent Please submit an official letter of intent with this application.Letters of intent should include, but are not limited to:The events purpose and overarching goalsThe intended time, location, and procession of eventsAn outline how the maintenance of public order will be maintained throughout the duration of the event as not to disrupt the learning environmentIdentify requests for support from the Dean of Students Office for a successful peaceful demonstration One file only.5 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.25 MB limit per form. Acknowledgement of the Review of Institute Rules and Regulations Acknowledgement of the Review of Institute Rules and Regulations Please take time to review the Rule for Maintenance of Public Order found in The Rensselaer Handbook of Student Rights and Responsibilities.By checking this box you agree to all the terms stated and agree to comply by all the rules and regulations outlined within The Rensselaer Handbook of Student Rights and Responsibilities. Acknowledgement of the Review of Institute Rules and Regulations Please take time to review the Rule for Maintenance of Public Order found in The Rensselaer Handbook of Student Rights and Responsibilities.By checking this box you agree to all the terms stated and agree to comply by all the rules and regulation outlined within The Rensselaer Handbook of Student Rights and Responsibilities. Leave this field blank Leave this field blank