Oxnard College
FACILITIES REQUEST FORM
This form is to be used when requesting a reservation for both on and off campus facilities for college-affiliated events and
college committee meetings. All events are entered onto a Master Calendar to ensure facility availability and to prevent
scheduling conflicts. This form must be submitted at least 15 working days prior to event.
DATE OF EVENT:
FROM:
a.m./p.m.
TO:
a.m./p.m.
ON-CAMPUS LOCATION:
OFF-CAMPUS LOCATION:
OPEN TO THE PUBLIC?
YES
NO
AMOUNT OF ADMISSION, IF ANY
ESTIMATED ATTENDANCE:
FOOD and/or REFRESHMENTS?
YES
NO
NAME OF APPLICANT AND/OR CLUB:
EMAIL ADDRESS:
TODAYS DATE:
PHONE NUMBER:
PLEASE ROUTE THROUGH THE FOLLOWING:
1.
3.
Applicant Date
Master Calendar Manager Date
2.
4.
Vice President, Student Services Date
Vice President, Academic Affairs
Vice President, Business Services Date
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SERVICES AND EQUIPMENT
MAINTENANCE AND OPERATIONS (for on-campus events only):
Extra Chairs Needed:
(number)
Tables Needed:
(number)
Extension Cord(s)
(number)
Other Services Needed:
IT (for on-campus events only):
Overhead Projector
Portable P.A. System
Microphone w/stand
Portable P.A. System
Microphone(s) w/stand
Table Microphone(s) w/stand
PERFORMING ARTS BUILDING:
Standard Setup
(120, tables, chairs,
stage & podium)
No Stage Setup
(180, tables &
chairs)
Auditorium Setup
(260, chairs only)
Classroom Setup
(80, small tables &
chairs)
*Any request other than the Standard Setup will have a $150 setup fee
SUBMIT THIS FORM TO BLANCA BARRIOS ADMIN BLDG #202 Weekly Daytime Events
SUBMIT THIS FORM TO DARLENE INDA ADMIN BLDG #244 Evening/Weekend Events