Orange County Community College
Central Scheduling Office
115 South Street
Middletown, New York 10940
Phone: (845) 341-4720 Fax: (845) 341-4721
Central Scheduling Request Form
APPLICATION FOR USE OF FACILITY
Event Date:
TO: CENTRAL SCHEDULING OFFICE TODAY’S DATE:
REQUESTOR:
PHONE/EXT:
EVENT
DATE IS
DAY:
Sun
Mon
Tue
Wed __Thu
Fri
Sat
BUILDING:
ROOM:
Reserve
Time:
to
Event
Hours:
to
Event
Name:
Est.
Attendance:
Sponsoring Group:
Supervisor:
SPECIAL NEEDS AND/OR SUPPORT SERVICES REQUIRED
Check all special equipment required:
**one week lead time and based on equipment availability
Internet Connection
Tables & Chairs
(Note** Attach a floor plan when requesting tables and chairs to be set up.)
Check a
ll special services required:
Maintenance
Security
(Y/N)
Will alcohol be served?
(Y/N), if “yes”, an approved permit must be obtained from the
President’s Office, and a copy forwarded to Central Scheduling Office.
If you plan on using the college’s name or logo for any advertisement, publication, or promotion **
regarding this event, please contact Vinnie Cazzetta, the college's Vice President
Advancement at 845-341-4726, for approval.
Note: Maintenance fees may be applied if clean-up is required and not paid for in advance.
Central_Scheduling_Main_Form.pdf
Microphone (specify) :
On podium
Blu-ray Play
Projector & Screen
DVD Player
Computer
ITS Equipment support (WEEKDAYS - delivery, setup, & handoff)
Contact Name : ___________________________
note** you must arrive at least 15 minutes before event
Contact Phone: __________________________
**one week lead time
and
based on personnel availability
** Any changes to technology requested less than 48 hours notice may not be accommodated.
Describe Specific Service Needs, Notes or Comments Below:
Other: (please specify)
Will you be using food services
Wireless Handheld
Wireless Lapel
Describe Specific
Equipment Needs/Notes:
