Visit form (Nov 8)
Please fill out this form before you leave the Hoya Hub. Select the amount of each item you took today. If you did not take any of an item, please leave that question blank. You are not required to provide the last 3 digits of your Georgetown ID. Thank you.

Questions? Email us at hoyahub@georgetown.edu
Georgetown ID (Last 3 digits)
Your answer
Date of Visit *
MM
/
DD
/
YYYY
Time of Visit *
Time
:
Shelf 1
1
2
3
4
5
Chicken Cup Noodles
Chicken Top Ramen
Beef Cup Noodles
Shelf 2
1
2
3
4
5
Chef Boyardee Ravioli
Chef Boyardee Spaghetti
Cereal
Shelf 3
1
2
3
4
5
Apple Sauce
Dole Cherry Mixed Fruit
Granola bars
Shelf 4 (Gluten Free)
1
2
3
4
5
Knorr Selects (Gluten Free)
Past (Gluten Free)
Shelf 5
1
2
3
4
5
Chicken Noodle Soup
Progresso Chickarina Soup
Chicken Breast
Tuna
Beef Stew
Shelf 7
1
2
3
4
5
Goya Yellow Rice
Brown Rice
Pasta
Kraft Mac and Cheese
Cup a Soup
Mashed Potatoes
Food Seasoning Packets
Shelf 8
1
2
3
4
5
Granola Bars (NUTS)
Peanut butter
Jelly
Knorr Rice Sides
Stuffing
Mashed Potatoes
Matzos
Shelf 9
1
2
3
4
5
Outmeal
Hunts Diced Tomatoes
Goya Kidney Beans
Goya Black Beans
Goya Chickpeas
Bush's Baked Beans
Sweet Peas
Corn
Green Beans
Tomato Sauce
Did you take anything that we didn't list? If so, what was it? *
Your answer
Do you have access to a can opener? *
Do you have access to pots and pans? *
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