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:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
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Print Name |
Signature |
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Reviewed |
Date |
Chair/Director/ Supervisor |
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Dean |
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Provost/VP |
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Approved |
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President |
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Yes No |
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