JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Holiday Helpings
The first 25 applications received will be approved. Sponsored by the Student Wellness Center.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name
*
Your answer
Student ID
*
Your answer
Email or Preferred Contact Information
*
Your answer
Number of Members in Household
Your answer
Ages of Household Members
Your answer
I DO wish to participate in the holiday meal program.
Yes
I agree to pick up food items by December 15, 2020 at 5 p.m.
Yes
Best Campus Location for Pick-up:
North Campus (Salisbury)
South Campus (Concord)
Clear selection
Print Name Here as Signature
*
Your answer
Date
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rowan-Cabarrus Community College.
Report Abuse
Forms
