Winter Break 2021 Request Form
Hello Everyone! We will be operating remotely for off campus students (including commuters), residential students as well as faculty/staff throughout Winter Break. Please review the guidelines below carefully as the guidelines may change over the course of Winter Break. THANK YOU FOR YOUR PATIENCE AND UNDERSTANDING.

This form will help you make a BOX/BAG Request for Dec/January.

Off-Campus Students + Fac/Staff will be able to pick up their requests in the basement lobby of the Mailroom located in Haggerty Administration Building. The requests will be on a set of tables.

Residential Students will have their requests dropped off in the lobby of their Residence Hall.

*You will receive a confirmation to your Outlook address along with your pickup # that will be labeled on the requested box. If we run out of boxes, items will be placed in bags.

*Your contact information will be verified before requests are honored. The food pantry will be in contact with you if there is any inaccurate information.

*Requests are fulfilled based on availability of item. If you do not receive an item from your request - we don't have the item in stock. You will need to pickup your box/bag on the day you are scheduled. We are not responsible for boxes that are unattended.

Thank you for your time and patience during this break!!!
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Email Address *
First & Last Name *
Outlook Account *
Student or Fac/Staff? *
Cell Phone Number *
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