The Store @ HU Access Request Form
The information provided below is for administrative use of the food pantry at Howard University. All personal information will be kept confidential. Ethnicity, birth date, and gender are optional categories for completion. This first-time access form is NOT used to determine eligibility use. All validated HU students are permitted to use the food pantry. For all the following questions, your responses will not exclude you from receiving access to the pantry.
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First and last name
HU Email Address
Phone Number
Bison ID #
Date of Birth
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Gender
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Are you currently enrolled
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What is your student status?
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Academic Classification
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What is your major/area of study?
Are you an international student?
Clear selection
How many hours do you work , if any?
What type of housing do you currently have?
Clear selection
Do have a meal plan at HU?
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If yes, what type?
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Are you currently on SNAP benefits? *
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Do you have access to cooking devices in your household? *
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Kitchen Equipment available
Campus Food Pantry - Waiver and Release of Liability
I understand the food distributed at “The Store@HU” Food Pantry has been donated by or purchased from various off-campus partners, and that none of the parties involved in the program make any warranties as to the quality of the food or its value for any particular purposes. I acknowledge that receipt of free food from The Store@HU Food Pantry is a gift and not a reoccurring obligation.I hereby assume all risks related to this gift of food and, by my signature below, agree to defend, indemnify, and hold harmless The Store@HU Pantry, Howard University, its partners, the original food donors and all officers, employees, agents, and volunteers of these entities, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury and/or illness, or death which may result from any gift of food from The Store@HU food pantry. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including my rights to sue regarding the quality, condition, or packaging of the food.
Please type your name below to sign this waiver * *
Today's Date
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You will receive an access confirmation email within 24-48 hours.
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