95 Harbor Road, Cold Spring Harbor, NY 11724 631-692-6820

Application and Setup for Meeting Room Use

Use the web from below or submit the PDF application. Read the Meeting Room Policy.

Name of Organization:

Date of Application (dd/mm/yyyy):

Telephone of Organization:

Tax Exempt?
YesNo (proof may be requested)


Telephone of Representative:

Email of Representative:

(Please note: Contact information will be published on the Library website.)

Representative's Address:

Facility Request:

Day and Date of Event:

Number of People Expected:

Purpose of Event (lecture, reception, meeting):

Will there be a speaker?

Name of speaker:

Time of Event (starting and ending times):

Total set-up and clean-up time: Note: You must include a minimum of ½ hour before and ½ hour after your event times for set-up and clean-up, regardless of your event, and your event must fall within the regular hours of the Library’s operation unless you request special consideration as part of this application. Regular hours are: Mon.-Thurs. 9:30 am-9:00 pm, Fri. & Sat. 9:30 am -5:00 pm year round and Sun. 1:00 pm -5:00 pm from Sept thru June.

I am requesting special consideration to extend the hours of our event. Please describe your special needs and your reasons for making this request.

Audio/visual equipment to be used (microphones, VCR, DVD, Laptop, etc.):

Furniture Requirements (chairs, tables, lectern, etc.):

Note: if you need a special furniture arrangement, you must attach a diagram for the set-up of furniture and equipment.

Refreshments Planned:

Contact Person in Case of Emergency:


Position in Organization:

Please type your initials in the below box:

Please be advised all meetings are open to the public.

Read the Meeting Room Policy