POLITICAL ACTIVITY NOTIFICATION FORM
(please
print)
______________________________________.
representing ________________________,
candidate,
organization, issues, etc.
has notified the CNM
Public Information Office of intent to visit _______________________
room/building
at
____________________________________ Campus on __________________________
campus
date(s)
during the hours of
______________________.
PIO Representative
__________________________________________________________
name
signature
date
..
POLITICAL ACTIVITY
Name(s) of visitor(s)
_________________________________________________________
Political
office/issue __________________________________________________________
Purpose of visit
______________________________________________________________
CNM sponsors name
and phone number (if applicable) _______________________________
Date(s)/time(s) of
visit(s) ______________________________________________________
___________________________________________________________________________
Course title (if
applicable) ______________________________________________________
Location of activity
___________________________________________________________
List any special
needs: ________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Please
submit samples of any materials to be distributed (optional).
XC to:
Visitor
VP for Administrative Services
Security