ROOM REQUEST: COLLEGE SPONSORED EVENTS
(IF YOUR EVENT OR ACTIVITY IS SPONSORED BY A NON-CAMPUS ORGANIZATION, DO NOT USE THIS FORM, INSTEAD CONTACT THE OFFICE OF COMMUNITY EDUCATION AT 315-866-0300, X8252)

BEFORE COMPLETING THIS FORM - PLEASE REFER TO THE ROOM SCHEDULE ON THE MYHERKIMER SITE FOR ROOM AVAILABILITY - UPDATED DAILY

TITLE OF EVENT:

DAY(S) and DATE(S) OF EVENT:

START TIME:    END TIME:     SET-UP TIME: 

BUILDING/ROOMS:  RMCC CA JH LB TC PE  

GROUP SIZE:     EVENT ON-SITE SUPERVISOR:   

COLLEGE ORGANIZATION OR DEPARTMENT SPONSORING EVENT: 

EVENT CONTACT PERSON/REQUESTER:   PHONE EXTENSION:   

Is this a fundraiser?    Yes       No     If Yes, What Charity or Organization?  *

*All fundraising events must follow the Fundraising Policy located on MyHerkimer under Documents and Forms.

MAINTENANCE:
Room Set-Up:  (Please be aware that not all set-ups are available in all rooms, room resets during the day may not be possible.)

"U" Shape	Conference Table	Classroom	Other, please explain below

Additional needs:

Will you be requesting food?  Yes  No

Is this a revised submission? Yes  No    What information was changed?