Fillable Gilberts Pantry Request Form (College of Southern Idaho)

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Gilberts Pantry Request Form (College of Southern Idaho)

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Gilberts Pantry Request Form
Student Name: _____________________ CSI Student ID #: ______________ Phone#: ______________
Date:_______________________
*Pantry is based on donations and product availability: Please check your food preference*
Canned Fruit
Check
Canned
Vegetables
Check
Soups
Check
Applesauce
Carrots
Chicken
Fruit Cocktail
Corn
Beef
Mandarin Oranges
Diced Tomatoes
Vegetable
Peaches
Green Beans
Canned Pasta
Pineapple
Peas
Chili
Tomato
Pasta & Grains
Check
Proteins
Check
Other Products
Check
Instant Potatoes
Peanut Butter
Jam/Jelly
Pasta
Canned Tuna
Juice
Macaroni & Cheese
Canned Beans
Cooking Oil
Rice
Dry Beans
Can Openers
Boxed Pasta Meals
Sugar
Breakfast
Check
Cleaning
Supplies
Check
Hygiene Items
Check
Cereal
Laundry
Detergent
Toothbrush
Granola Bars
Kleenex Tissues
Toothpaste
Oatmeal
Dish Soap
Soap
Paper Towels
Deodorant
Shampoo
Conditioner
Feminine Hygiene Products
Toilet Paper
List Allergies or Food Restrictions
Food Suggestions/Products not listed above:
Forms can be submitted to the Office of Student Affairs, located in the Taylor Building, 2
nd
floor or
rlopez@csi.edu. Student should expect a 3-5 business day response.
Date Reviewed
Credits:
Enrollment Verification
Y N
Staff Initials:
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Gilberts Pantry Request Form (College of Southern Idaho)

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Completed 3 February 2021

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