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Meal Assistance Application

  • Name
  • Academic Class
  • Are you enrolled in at least 3 credits this semester?
  • Are you currently employed?
  • Do you have dependents in your household?
  • Select statements below that apply to you: Within the last 30 days...
  • Which of the following resources have you used to help meet your food needs within the last 12 months? (check all that apply)
  • Please press the "Submit" button only once. It can take 2-15 seconds for the form submission to complete. Thank you!