Stress Less Pantry Application Stress Less Pantry Application Please fill out the form below and your application will be reviewed. Thank you! Name * Name First First Last Last Today's Date * Email * Student ID * Student Year. If you are filling this out over the summer, please indicate what year you will be in the upcoming fall semester. * FreshmanSophmoreJuniorSeniorOther Student Year. If you are filling this out over the summer, please indicate what year you will be in the upcoming fall semester. What is your reason for requesting access? If you have food allergies, please list all food allergies below. * If you have (a) food allergy(ies), who was it diagnosed by? * MyselfPhysicianOther If you have (a) food allergy(ies), who was it diagnosed by? Is your food allergy or need for this pantry registered with Student Health Services? * YesNoOther Is your food allergy or need for this pantry registered with Student Health Services? Do you have any other dietary preferences, intolerance, restrictions? * NoneVeganVegetarianOther Do you have any other dietary preferences, intolerance, restrictions? Are you a student athlete? * YesNo Additional information that we should be aware of Submit If you are human, leave this field blank. Δ
