All SCCC employees and/or departments that are co-sponsoring the use of facilities by an external
organization agree to the following conditions:
Application must be signed by both the employee of the SCCC department who is requesting use of
the facilities and an authorized representative of the external organization coming to campus.
Employee of the SCCC department that is co-sponsoring the event must be present at the event at
all times.
SCCC employee must receive approval by his/her Department Chair or supervisor and the Campus
Dean prior to application submission.
If the application is approved, a license agreement between SCCC and the external organization
will be prepared for signature.
A reduced rental fee equal to 50 percent of the fees authorized by the Facilities Use Policy will be
charged.
If the co-sponsored event is a fundraiser, a reduced rental fee equal to 75 percent of the fees
authorized by the Facilities Use Policy will be charged.
Questions may be emailed to specialevents@sunysuffolk.edu
Date of Application: ________________
Name of Event:_________________________________________________________________
Name of SCCC Employee and Department: __________________________________________
Name of SCCC Contact Person:____________________________________________________
Phone: ________________________ Email: ________________________________________
Name of External Organization: ___________________________________________________
Address: ______________________________________________________________________
Name of Contact Person:_________________________________________________________
Phone: ________________________ Email: ________________________________________
Requested Date(s) of Use of Facilities:
_______________________________________________________________________
Requested Time(s):
______________________________________________________________________
Estimated number of attendees per day: _____SCCC Faculty/Students _____Public
Will a fee be charged to attendees: ________ If yes, amount: $ ____________
APPLICATION FOR USE OF FACILITIES BY
SCCC EMPLOYEES/DEPARTMENTS
Office of Special Events & Programs
Crooked Hill Road Brentwood, NY 11717
631-851-6902/ fax 631-851-6910
specialevents@sunysuffolk.edu
2
Will a fee be charged to vendors/exhibitors: ________ If yes, amount: $ ____________
Is the event a fundraiser? Yes ________ No ___________
*Pre-Event: __________ *Post-Event: ____________
Event Starts: __________ Event Ends: ____________
Campus Requested: Grant (Brentwood) ____ Ammerman (Selden) ____ Eastern (Riverhead) ____
Specific Room(s) or Type of Room(s) Requested:
_______________________________________________________
Provide a brief description of event (if necessary, include the number of anticipated vendors or exhibitors):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Describe your set-up needs (conference style, rows, tables, chairs, audiovisual, etc.):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
QUALIFYING AS A COLLEGE EVENT:
If this event is approved as a College co-sponsored event, discounts will be given on the facility rental fee (a
50% discount, or if the event is a fundraiser, a 25% discount). Approval does not guarantee use of SCCC-
owned equipment.
How does this event relate to the College’s Strategic Plan? What is the benefit to Suffolk County
Community College students?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*Time you would like to enter room to prepare for your event
*Time you expect to be done removing your materials after event
*Time doors open for attendees
*Time doors close for attendees
3
PLEASE NOTE: ARAMARK is the exclusive provider of food services on the Ammerman and Grant
Campuses for snack bar or catered events (breakfast, lunch, coffee break, etc.). Eastern Campus has its
own catering department.
Ammerman (Selden) Campus Contact : Jon Rizzo
(631) 732-1838 Rizzo-Jon@aramark.com
Grant (Brentwood) Campus Contact: Bernadette
(631) 273-4374 Figueiras-Bernadette@aramark.com
Eastern (Riverhead) Campus Contact : Angelo Kakaris
(631) 548-2535 kakaria@sunysuffolk.edu
APPLICANT GUIDELINES:
The undersigned, an authorized member of the listed organization, hereby acknowledges and agrees that
this application is not an official contract. Once this application is reviewed and an estimate of fees has been agreed
upon, a license agreement will be prepared for both parties to sign. This estimate of fees provided by the Suffolk
County Community College Events Office will not cover any of the external service providers’ charges. My event
will not be confirmed and advertising may not take place until a license agreement is signed by both parties.
When the license agreement is signed by both parties, the external organization is required to provide a
certificate of insurance demonstrating that an insurance policy issued to the organization contains comprehensive
general liability coverage in the amount of $2 million (per occurrence) for the period of the proposed event. The
general liability insurance must name both Suffolk County, H. Lee Dennison Bldg., Veterans Memorial
Highway, Hauppauge NY 11788, and Suffolk County Community College, 533 College Road, Selden NY
11784, as additional insureds.
Organizations Representative:
Signature: ________________________________________________ Date______________
Printed: _________________________________________________ Date______________
SCCC Faculty/Staff:
Signature: ________________________________________________ Date______________
Printed: _________________________________________________ Date______________
Approved by Department
Chairperson/Supervisor:_______________________________________Date_____________
Approved by Campus Dean:___________________________________________ Date_____________
Approved by Director of Special Events: _________________________________ Date_____________
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