UVSS Food Bank Student Hamper Program
This form is to sign up to receive a hamper for pick up at the Food Bank in the Student Union Building. Please read the information below before filling out the form.

In lieu of the regular food bank services offered to students in the Student Union Building, the Food Bank will be offering hampers for UVic Students. We are excited to be able to continue to offer the important services of the food bank to UVic students and their families throughout this time.

You will be able to choose food items as well as optional household items, safer-sex supplies, menstrual products for your hamper.

Students are able to request a hamper once a week, but must fill out this form again each week. Upcoming Dates for Hamper Registration and Pick Up (pick-up dates are dispersed throughout the week):

Registration is due by Friday, June 4 at noon (12pm) for pick-up the following week (June 7-11).

Registration is due by Friday, June 11 at noon (12pm) for pick-up the following week (June 14-18).

PLEASE DO NOT FILL OUT THIS FORM MORE THAN ONCE A WEEK. If you would like to continue receiving hampers, we recommend filling this form out again the same day as you are scheduled to pick-up your first hamper.

You will receive an email from us the Friday after you register with your pickup date and time. Please ensure you check your spam to ensure you don't miss this important email from us!

This service is available only to UVic Students. If you are not a UVic Student we encourage you to check out other resources that may be available to you here: https://uvss.ca/covid-resources/#toggle-id-2
Full Name *
Email *
Student Number *
Is this for an Individual or Family? *
If you are picking up food for 2+ people (ie. yourself and a sibling/parent/roommate/partner/etc) you can select "Family"
Which of the following do you qualify as? (for statistical purposes only)
Clear selection
Are you an international or domestic student? (for statistical purposes only)
Clear selection
What days/times are you available to pick up your hamper? Please select all that you are available for, and we will email you back with a scheduled date & time. *
Please note that this only indicates your availability, NOT your scheduled time. Do not arrive unless you have been sent an email with a specific pickup time and you have confirmed it with us.
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Notes
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