Chapman Orange Campus Food Pantry Access Request Form

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Please fill out this form to begin the process of accessing Chapman University's Orange campus Food Pantry.

Once you fill out this form, you will receive a follow-up email from Annessa Garcia (pantry@chapman.edu), Food Pantry Coordinator, with instructions. Please allow up to 2-3 business days to receive a follow up email.

Additionally, please be patient as it could take 3-5 business days for you to gain access to the Orange campus food pantry.

You will also receive an email from the University's case manager, to discuss any additional resources and support that might be beneficial to you.

First and Last name *

ID Number *

Chapman Email Address *

What is your current academic standing? *

First Year Student

Second Year Student

Third Year Student

Fourth Year Student

Graduate Student

I was referred by (if applicable) *

If you selected "other" please specify

I have access to *

Stove top

Oven

Microwave

Can Opener

Running Water

Required

Dietary Restrictions/ Allergies (if any)

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