SPACE USE APPLICATION & USER AGREEMENT
Designated Public Forums
Portland Community College
Through identification of Designated Public Forums, Portland Community College (PCC) recognizes the
importance of social discourse and the free exchange of ideas in areas generally available to students and the
community. These areas provide visibility and allow communication with a large number of people, however
are not likely to disrupt educational and other activities central to fulfilling the mission of the college. See
Expressive Conduct Guidelines (link) for complete policy. Individuals or groups wishing to engage in expressive
speech or activities at PCC shall provide notification and agreement with terms of use through this form.
Submit completed form at least three (3) and no more than 30 business days in advance of desired use.
Exceptions to the notification period are made for use of external spaces that do not require table/chairs or set-up and
for bulletin board postings. Recognized PCC student clubs and organizations may submit one (1) day in advance.
Approvals are made on a first-come, first-served basis after review of request for any conflict
with prior-approved expressive conduct and/or College sponsored activities or events.
Priority will be given to recognized PCC student clubs and organizations.
PROVIDE ALL OF THE FOLLOWING INFORMATION:
Name of individual or representative(s): _________________________________________________________
Name of entity/organization: __________________________________________________________________
Address: __________________________________________________________________________________
Telephone: _________________________________
Email: ____________________________________
Date(s) requested: ___________________________
Time(s) requested: __________________________
PCC Campus or Center: ______________________________________________________________________
Type of space requested:
 External (outside of building – generally no table/chairs or space set-up provided)
 Internal (inside of buildings – generally one table and two chairs provided in designated space)
 Bulletin Board (limited in size, duration of posting, and lawfulness of content and must include contact* info)
Description of intended activity:
TERMS & CONDITIONS
LIMITATIONS related to use of Designated Public Forums:
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User must provide notification and obtain approval from the College for use of Designated Public Forum space through the
Space Use Application & User Agreement process.
Users will conform to the site or the College’s normal operating hours.
Use of space may not impede the passage of others or operations of the College.
Users will not force or coerce any individual to take materials or sign petitions, nor make physical contact with individuals.
Internal facilities space use will generally be limited to one table and two chairs due to space constraints and desire to
assure greater access to space. Users may not bring extra tables, chairs, rack or display devices that would extend the
allocated space.
User will not require the College to provide special support services or insurance coverage. Should an activity require the
College to provide special support or incur costs, the user must be willing to reimburse the College.
PCC reserves the right to close or temporarily limit use of any Designated Public Forum area for a College or PCC student
sponsored activity/event OR for health, safety, or welfare considerations.
PROHIBITED ACTIVITIES in Designated Public Forums:
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Any activity that disrupts the ability of the College to fulfill its mission of instruction and related services and business
operations. Examples include, but are not limited to, excessive noise, impeding traffic or pedestrian movement, and
unlawful conduct.
Any activity that may damage College property.
Leaving trash, litter, pollutants, or other materials in any area.
Distribution/solicitation by placing materials on vehicles.
Solicitation of money or requests for funds, or sales of tickets or other items except where appropriate permissions are
granted.
Fraud or misrepresentation of self/organization or misrepresentation/implication that the College sponsors, supports, or
endorses any view, belief, statement, literature, company, product, or service being disseminated or exhibited.
Any activity in violation of the PCC Policy on Student Conduct.
Any violation of the College’s Non-Discrimination/Non-Harassment Policy.
USER AGREEMENT
With my signature below, I acknowledge that I have read, understand, and accept the terms and conditions,
including the Limitations and Prohibited Activities for use of Designated Public Forum space, identified in this
User Agreement and in the Portland Community College Expressive Conduct Guidelines. I acknowledge that I
am authorized, on behalf of myself or the entity identified on this form, to agree to the terms and conditions. I
understand that failure to comply may result in the involvement of college administration, campus security, or
law enforcement and to the denial of use of PCC facilities for purposes of free expression.
Authorized Signature: ___________________________________
Date: _______________
Print Name: ____________________________________________________
SUBMIT TO:
Cascade Campus Information - SU Information Booth…971-722-5575…email
vending.ca@pcc.edu
Rock Creek Campus Student Center Help Desk, Building 3, Room 128 971-7227379
Southeast Campus Student Leadership Office, MTH 152 971-722-6053…email
vending.se@pcc.edu
Sylvania Campus Information - CC 247…971-722-4329
Other PCC Centers/Sites:
Contact individual site through
information found at:
http://www.pcc.edu/location/
OFFICE USE ONLY:
Confirmed space ________________________________Notified date ____________ By (initial) _________
R25 Reservation # ________________ Email Phone In person