Diaper Request Form
We are thrilled to support our Parent Scholars at Fresno State by offering diapers by request. Please complete the below request form. Your order will be available for pick-up in the Student Health and Counseling Center lobby within 2 business days. Please wait to come by until you have received an email stating that your order is available for pick up. 
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Your Name (First and Last): *
Your Fresno State ID Number: *
Your Email Address: *
How many people (including you) live in your household?  *
How many children use diapers?  *
What size diapers are you requesting? 
 *
Required
Would you like a pack of baby wipes with your order? *
Please provide any additional information regarding your request below. 
By checking the box below you certify that you are a currently enrolled Fresno State Parent Scholar and therefore eligible to receive diapers.  *
Required
Email parentscholars@mail.fresnostate.edu if you have questions or concerns.
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