Swoop's 2018-2019 Intake Form
Please take a moment to answer all questions so that we may serve you better. We are required to obtain the following information from our students for funding and reporting purposes; however, we will serve anyone regardless of ethnicity, race, color, national origin, sexual identity, gender, age, disability, parental status, political, religious, or spiritual beliefs. This information will be kept confidential and will not have a negative effect on services provided to you. Please note the information you provide may be used for grant funding or research purposes but your name and any identifying information will be kept confidential.
E ID (ex. E0123456
First and Last Name:
Date of Birth:
Current Address (where you live while you're at school):
What is your major?
What is your role at EMU?
5th Year Senior
Do you have an EMU meal plan? Please check all that apply.
No, I do not have a meal plan
Yes - I have the "Anytime Meal Plan"
Yes - I have the "3 Per Day Plan"
Yes - I have the "2 Per Day Plan"
Yes - I use flex dollars
If you indicated that you have any meal plan in the previous question, please tell us if you have any issues utilizing your meal plan.
Dining does not offer enough on-campus options
The hours dining places are open make it difficult for me to use my meal plan
The dining options on campus do not align with my dietary needs
The meal plan does not give me enough meals per day
The on-campus options are too expensive
There are not enough healthy options
I lost/broke my E-ID and do not have a temporary ID so I cannot access my meal plan
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