Orange County Community College 
Central Scheduling Office 
115 South Street 
Middletown, New York 10940 
Phone: (845) 341-4720 Fax: (845) 341-4721 
 
 
 
TO: CENTRAL SCHEDULING OFFICE      TODAY�S DATE: 
 

REQUESTOR: 
 PHONE/EXT: 
 

EVENT DATE:  Sun     
 DAY:    Mon      Tue      Wed     __Thu      Fri      Sat   
 
BUILDING: 
 ROOM: 
 

 Event Hours: Reserve Time: 
 to 
 to 
 

  Est. Attendance: Event Name: 
                                                             
 

Sponsoring Group:                                                 Supervisor: 
 

***Please be advised that parking is limited at the Newburgh Campus**** 
 
 
SPECIAL NEEDS AND/OR SUPPORT SERVICES REQUIRED 
 
Check all special equipment required: 
 TV & DVD/VCR player     Slide Projector        LCD Projector        Laptop/PC        Internet Connection  
 Tables & Chairs    (Note** Attach a floor plan when requesting tables and chairs to be set up.) 
 Other: (please specify) 
 
NOTE/COMMENT: 

 
 ______ 

Check all special services required: 
 Maintenance       Security       Scoreboard Operator       Lighting Technician       State Manager  
 ITS technical support  
 Other: (please specify) 
 
NOTE/COMMENT: 

 
 ______ 

 (Y/N), If �yes� contact food service manager Bob Glohs, at ext. 4862 AFTER receiving facility confirmation from the Central Scheduling Office. Will you be using food services? 
 
 
 (Y/N), it �yes�, an approved permit must be obtained from the President�s Office, and a copy forwarded to Central Scheduling Office. Will alcohol be served? 
 
 
 
All advertisements, promotions, and/or publications regarding any event requires approval by Vincent Cazzetta, Vice President of Institutional Advancements, (845) 341- 4726. 
 
 
Central Scheduling Request Form 
APPLICATION FOR USE OF FACILITY 
 

 Event Date: 


Central Scheduling Office USE ONLY 
 
Event posted on Room Scheduler on   
 _, by 
 .