Human Resources - Flyer Request

Flyer Request Form

Please fill out the required information and ensure that you provide a copy of the flyer in your form submission.

[Visitor Login]

Items denoted with a red asterisk * are required.

* Date of Request:

* Date Needed By:

* Name:

* Address:

* City:

* State:

* Zip:

* Email Address

* Phone:

* Organization Name:

* Purpose:

I / We hereby assure the school that the organization will:

Not use fighting words, obscenities, defamatory speech or encourage disruption of the educational environment;

Not provide representations or visuals that are inappropriate as described in the The Children's Internet Protection Act;

Remove the material on a date certain not more than one (1) month after it has been displayed/posted/stacked or five (5) days after the activity begins, which ever is earlier;

Label the material with the name of the sponsoring organization;

Provide the name, address and telephone number of the local representative for the organization prominently on the promotional material;

Have an authorized representative of the organization sign the written assurances.

Agree that any charges for the instruction/activities will be based on and not exceed the cost of providing the instruction/activities;

* Please Read:

By checking the box you assure that the information provided above is true to the best of your knowledge

A copy of the proposed flyer needs to be submitted. Please click on the "Attach Files" link below to attach the flyer to this form.

[Attach Files]