CARDS Dining Accommodation Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please submit this

Email *

What is your last name? *

What is your first name? *

What is your email address? *

What is your graduation year? *

Do you have any of the following conditions? *

Food allergies

Celiac or other gluten intolerance

Food intolerances

Crohn's

Other:

Required

If you checked "food allergies", "food intolerances", or "other" to the above question, please indicate the specific allergens, intolerances, and/or conditions and their severity below (if this does not apply to you, please feel free to enter N/A or not applicable): *

Have you also applied for housing accommodations through CARDS related to your dining accommodation needs (i.e. kitchen access)? *

Yes

N/A

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Barnard College.

Does this form look suspicious? Report

Forms