ATTACHMENT I

 

Texas State University UPPS No. 01.04.45

Concealed Carry of Handguns by License Holders on University Premises

Request for Temporary Gun-Free Zone

 

Please submit this request at least 30 calendar days before the scheduled event.

 

Name of University representative requesting the temporary gun-free zone:

_______________________________________________________________

 

Position/Title: ________________________________________________________________


Organization or Department: _________________________________________________

 

Office Phone: _______________________________                                            

 

Cell Phone: ___________________________________                                          

 

Email: ________________________________________                                                


Activity or Event: _________________________________________________________________________    


 

Begin date: ______________ Begin time: ______________


 

End date: __________ End time: ___________________Reason for temporary gun-free:    

 


                                                                                       


                                    Nature of the student population   

                                    Specific safety concerns

                                    Uniqueness of the campus environment Rationale for temporary gun-free zone:

                                                                                                                                                     

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

 

 

 

Print Name

Signature

Title

Reviewed

Date

Chair/Director/

Supervisor

 

 

 

 

 

Dean

 

 

 

 

 

Provost/VP

 

 

 

 

 

 

 

 

 

Approved

 

President

 

 

 

Yes

 

No