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: (text) REQUESTOR: (REQUESTOR) PHONE/EXT: (PHONE/EXT) EVENT DATE: Sun (text) DAY: Mon Tue Wed __Thu Fri Sat BUILDING: (BUILDING) ROOM: (ROOM) Event Hours: Reserve Time: (Reserve Time) to (Event Hours) to (to) Est. Attendance: Event Name: (Event Name) (Est. Attendance) Sponsoring Group: Supervisor: (Supervisor) SPECIAL NEEDS AND/OR SUPPORT SERVICES REQUIRED Check all special equipment required: TV & DVD/VCR player Slide Projector LCD Projector Internet Connection Tables & Chairs (Note** Attach a floor plan when requesting tables and chairs to be set up.) Other: (please specify) (Other: (please specify) NOTE/COMMENT: (NOTE/COMMENT [2]) (NOTE/COMMENT [1]) ______ Check all special services required: Maintenance Security Scoreboard Operator Lighting Technician ge Manager ITS technical support Other: (please specify) (Other: (please specify) NOTE/COMMENT: (NOTE/COMMENT [2]) (NOTE/COMMENT [1]) ______ (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? _______ (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? ________ (Will alcohol be served) Note: Maintanance fees may be applied if clean up is required and not paid for in advance. 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 (text) Event Date: Central Scheduling Office USE ONLY Event posted on Room Scheduler on (text) _, by (by) Central_Scheduling_Main_Form.pdf