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COMMUNITY COLLEGE
OF RHODE ISLAND

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Food Pantry Request Form

If you see this don't fill out this input box.

Student name *

Student ID# *

Contact number *

CCRI email address *

Deliver to campus *

KN

FL

PV

NC

Number of people requesting for *The number of people you are requesting food for

Date request submitted

Date food deliveredDelivery date you want it by

Vegetables

Beans

Carrots

Corn

Mixed veggies

Peas

Potatoes

Grains

Mac and cheese

Pasta

Ramen

Rice

Protein

Peanut butter

Tuna

Fruit

Applesauce

Mixed fruit

Peaches

Pears

This page developed and maintained by The Office of Student Life. Send comments and suggestions to bepacheco@ccri.edu or to cjenkins@ccri.edu .

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© Community College of Rhode Island
400 East Avenue, Warwick
Rhode Island 02886
Telephone: 401-825-1000

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Last Updated: 2/11/19