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DVC Food Pantry 2018-19 Intake Form
Welcome! The information provided will only be used by the DVC Food Pantry and only for funding and research purposes; it will not disqualify anyone from using our services. ALL personal information will be kept confidential. Thank you!
First and Last Name *
Email address *
Student ID Number *
7 Digit Student ID Number
Current Address-City, Zip Code *
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