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Food Pantry Menu
Please fill out your full name and student ID#, select the items you would like and the amount. When done, please do not hit submit and pass the iPad over to associate. You have a nice day.
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Full Name (First/Last)
*
Your answer
Student ID#
*
Your answer
Milk (1 per day)
0
1
2%
Low Fat
0
1
2%
Low Fat
Clear selection
Cheese/Yogurt (1 per Day)
0
1
Cheddar or Monterey Jack
0
1
Cheddar or Monterey Jack
Clear selection
Eggs
0
None at this time
0
None at this time
Clear selection
Drinks/Juice/Coffee/Water (1Per day)
0
1
Energy Drink
Juice Box
0
1
Energy Drink
Juice Box
Clear selection
Fresh Produce
0
1 (No Limit)
Carrots
Grapefruit
Lettuce
Oranges
0
1 (No Limit)
Carrots
Grapefruit
Lettuce
Oranges
Clear selection
Canned Fruit
0
1
2
3
Apple sauce
Fruit Cocktail
Mandarin organes
Pears (1)
0
1
2
3
Apple sauce
Fruit Cocktail
Mandarin organes
Pears (1)
Clear selection
Bread
0
1
2
3
Bolillo Rolls (1 Bag)
Hamburger Buns
Hoagie (White) (1 Bag)
Pita Pockets (1)
White
0
1
2
3
Bolillo Rolls (1 Bag)
Hamburger Buns
Hoagie (White) (1 Bag)
Pita Pockets (1)
White
Clear selection
Pasta/Grains/Rice/Cereal
0
1
2
3
Pasta (Spaghetti, elbow, rotini)
Rice (Brown or White)
Corn Flakes
Cheerios
Oatmeal
0
1
2
3
Pasta (Spaghetti, elbow, rotini)
Rice (Brown or White)
Corn Flakes
Cheerios
Oatmeal
Clear selection
Sauces/Spreads/Broth
0
1
2
3
Pasta Sauce
Chicken Broth (1)
0
1
2
3
Pasta Sauce
Chicken Broth (1)
Clear selection
Non-perishable Canned Meats
0
1
2
3
Tuna
Vienna Sausage (1)
0
1
2
3
Tuna
Vienna Sausage (1)
Clear selection
Non-perishable Canned
0
1
2
3
Beef Ravioli
Beef Stew
Black Beans
Chili
Crushed Tomatoes
Diced tomatoes
Green Beans (up to 5)
Mix Vegetables
Pinto Beans (Bag)
Refried Beans
Tomato Paste
Stewed Tomatoes
0
1
2
3
Beef Ravioli
Beef Stew
Black Beans
Chili
Crushed Tomatoes
Diced tomatoes
Green Beans (up to 5)
Mix Vegetables
Pinto Beans (Bag)
Refried Beans
Tomato Paste
Stewed Tomatoes
Clear selection
Canned Soups (Meat/Non Meat)
0
1
2
3
Chicken and Dumpling
Chicken and Rice (1)
Chicken Noodle
Chucky Vegetable (1)
Mushroom
Tomato
Lasagna-style (1)
Tomato and Roasted Peppers (1)
Minestone (1)
Steak and Vegetable (1)
Roasted Chicken Noodle
0
1
2
3
Chicken and Dumpling
Chicken and Rice (1)
Chicken Noodle
Chucky Vegetable (1)
Mushroom
Tomato
Lasagna-style (1)
Tomato and Roasted Peppers (1)
Minestone (1)
Steak and Vegetable (1)
Roasted Chicken Noodle
Clear selection
Sweets/Snacks/Baked Goods/Microwavable
0
1
2
3
4
5
Clif Bars
Peanut Butter Crackers
0
1
2
3
4
5
Clif Bars
Peanut Butter Crackers
Clear selection
Baby Food
0
None at this time
0
None at this time
Clear selection
Toiletries/Personal Care Products
0
1
2
3
4
5
Toothbrush
Tampons (Regular or Super)
Pads (Non scented or w/Deodorant)
0
1
2
3
4
5
Toothbrush
Tampons (Regular or Super)
Pads (Non scented or w/Deodorant)
Clear selection
Please hand iPad back to Associate
Associate, how many items were picked up this visit?
*
Your answer
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