Food and Toiletries Request
Hello! Please fill out this form to request food and toiletries from Secure the Student. Once received, we will be in touch within 48 hours for delivery. To ensure that we are providing you with items that you enjoy/need, please select the items you'd like from the list below. We look forward to assisting you!

*For delivery, individuals must be enrolled undergraduate students at a community college or 4-year institution in the greater Richmond, Virginia area. For other Virginia students, please email hello@securethestudent.org so that we may further assist you.*

Food
Applesauce
Apple juice
Beef ramen noodles
Beef and vegetable soup
Beefaroni
Chicken (canned)
Chicken ramen noodles
Chicken noodle soup
Corn
Cran-grape juice
Fruit cups
Goldfish
Green beans
Graham crackers
Granola bars
Mac & Cheese
Oatmeal – Maple & brown sugar
Pasta sauce – Traditional/Tomato basil garlic
Pasta sauce – Meat flavored
Peaches
Peanut butter crackers
Peas
Spaghetti noodles
Tuna fish
Vanilla pudding

*Fresh fruits and vegetables available upon request

Toiletries
Body soap
Body wash
Deodorant
Feminine pads/tampons/liners
Laundry pods
Toothpaste
Name *
Date of birth *
Gender *
Ethnicity *
College email address (please refrain from using personal email address) *
Phone number *
Address for delivery *
School *
Grade point average *
Graduation year *
Are you unhoused or in transitional housing? *
Please check beside your source(s) of income *
Required
Please check beside other programs you participate in *
Required
How did you hear about Secure the Student? *
Food/toiletry items needed *
I understand that Secure the Student has the right to deny, partially, or fully grant my request. *
For delivery, I understand that I must be an enrolled, undergraduate student at a community college or 4-year institution in the Greater Richmond, Virginia area. *
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