Petitioner Request (Southern/Dobson Campus)
Per the Maricopa County Community College District (MCCCD) Administration Regulation 2.4.8 (https://district.maricopa.edu/regulations/admin-regs/section-2/2-4) each college is responsible for creating procedures relating to petitioning on college campuses. Mesa Community College's procedures are outlined below:

Mesa Community College Procedures
1. Prior notice must be provided to the Administrative Specialist of Student Life (Cara Webb) and/or their designee via this online form provided no fewer than three business (3) days before soliciting signatures. Representative must provide company name, supervisor and contact information, and may also be asked to provide pertinent information on the initiative(s) such as purpose/candidate and anticipated election date. Representative will receive a copy of the Petition Signature Solicitation Administrative Regulation (AR 2.4.8) and provide his/her signature at time of check‐in to demonstrate agreement to abide by this regulation.
2. Representative must check‐in and show a personal form of legal identification at the Office of Student Life & Leadership each day on campus prior to soliciting any signatures. Representative will wear a badge provided by the office throughout the duration of his/her time on campus.
3. Representative must check‐out and return badge each day prior to leaving.
4. Representative(s) are welcome on campus Tuesday, Wednesday and Thursday from 10:00 AM to 6:00 PM on both the Southern and Dobson and Red Mountain campuses, so long as time on campus does not exceed two (2) days per month per organization. Additional time may be requested and will be granted by the Administrative Specialist as space is available. No petition signature solicitors will be welcome on campus during the first two weeks and last two weeks of the semester.
5. Representative will be directed to the outside space by the Clock Tower (Southern and Dobson) and at the base of the stairs by the Mesquite Building (Red Mountain) and be provided a table and chairs, unless otherwise specified by the college for a special event. Due to space limitations, no more than three (3) representative(s) will be permitted on campus at any one time. No more than two (2) people may occupy any one space. Concurrent representation of like initiatives or ballots will not be permitted. Space is allocated on a first‐come, first‐served basis.
6. Representative must remain within a five (5) foot radius of the above designated location. Representative will not in any way stop the flow of traffic, approach students or employees or disrupt the college environment. Students and employees may approach the representative of their own accord.
7. Representative may place banners or signs on the table to encourage interest. Banners and signs may not be adhered to any surface.

Failure to comply with MCCCD policies and administrative regulations could result in the termination of petition signature solicitation privileges on any or all college campuses. If you have any questions about MCCCD policies and administrative regulations, contact the Office of Public Stewardship at (480) 731‐8880 or visit http://www.maricopa.edu/publicstewardship/. The MCCCD is an EEO/AA institution.

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Email *
Representative's name (first and last): *
Company name: *
Supervisor's name and contact information: *
Phone number: *
Email address: *
Reason for Visiting (Please provide initiative(s)/candidate(s) and the anticipated election date): *
Both MCC campuses are available to petitioners Tuesday - Thursday from 10:00am - 6:00pm. If we cannot accommodate on the original date you requested, we will follow up using the information provided on this form.
Date(s) requested: *
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I understand that this request is to visit the SOUTHERN AND DOBSON campus of Mesa Community College- 1833 W. Southern Ave *
To visit the Red Mountain campus, you will need to complete this specific form to that campus. https://tinyurl.com/y34jzsq3
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