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