ULSU Food Bank
In order to receive a hamper:
- Complete application below
- Show valid University of Lethbridge student ID

Hamper Policy:
-The ULSU Food Bank is available to provide assistance to students in need
- We require 24 hours notice for Hampers
- Hampers are available twice monthly, with a minimum of 2 weeks between visits
- Maximum 10 hampers per academic career (after 10 hampers exceptions can be made)
- Family hampers are available for those with dependents

Email address *
Name (First name, last name) *
Your answer
Student ID# *
Your answer
Year of study
Birthdate *
MM
/
DD
/
YYYY
Dietary restrictions *
Hamper *
If answered Family to the above question
Please list each dependent in your household. Dependents are minor children that reside with you. Spouses, roommates, parents, and adult children are not dependents.
Your answer
What is your status at the University *
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