Food Hamper Request
If there are any comments, concerns or questions related to this form or service, please don't hesitate to contact the Food Support Services Coordinator at foodsupport@westernusc.ca.

Hampers will be placed in the lockers across from Student Health Services in the Basement of the UCC. An email will be sent to you as soon as the hamper is placed giving the locker combination to you. In the mean time, we thank you for your patience.

We will do our best to accommodate your needs, but since we are donation-based service, this may not always be possible.Thank you for your understanding. After submitting your form, you should receive a confirmation email within 24 hours that your request has been received, if not please send us an email.

UWO Email
Please use your UWO email to validate that you are a student.
Your answer
Name
Your answer
Do you have any dependents that will also use the hamper?
If you do have any dependents, please indicate number and age of dependents.
Your answer
Please list any dietary restrictions:
Examples include allergies, vegetarian, etc.
Your answer
Please list any dietary preferences:
Examples include gluten-free diet, whole wheat, low-sodium, etc.
Your answer
Preferred Method for Pick Up (100% confidential)
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