Holiday Helpings
The first 25 applications received will be approved. Sponsored by the Student Wellness Center.
Student Name *
Student ID *
Email or Preferred Contact Information *
Number of Members in Household
Ages of Household Members
I DO wish to participate in the holiday meal program.
I agree to pick up food items by December 15, 2020 at 5 p.m.
Best Campus Location for Pick-up:
Clear selection
Print Name Here as Signature *
Date *
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DD
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YYYY
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