SBNC Interest Form

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SBNC Interest Form

The Student Basic Needs Coalition is committed to ensuring students' basic needs access and fighting the rising cost of college. We work to promote policies on campus that support student access to the four pillars of basic needs: Food, Housing, Safety, and Healthcare. By ensuring access to those basic needs and lowering the cost of higher education, receiving a degree will be more accessible to all Americans.

If you are interested in getting involved with our movement, please fill out the following form. A member of our team will reach out to you within (7) days. Email us at contact@studentbasicneeds.com with any additional questions or concerns.

What is your name? *

What is your email address? *

What is your phone number? *

I am...

a Undergraduate Student

a Graduate Student

a Recent Graduate

a High School Student

Not a Student

Not affiliated with a College/University

Campus Administrator (Student Life, Pantry Director, Basic Needs Dept., etc....)

Other:

IF APPLICABLE: What college/university do you attend? (Full name of school and campus, no abbreviations)

IF APPLICABLE: When will you graduate from said college/university? (Example... SPRING 2022)

IF APPLICABLE Are you currently affiliated with any organizations on your campus?

OPTIONAL: Do you have any questions or comments?

Submit

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