Panola College Feed The Need Request Form
Please fill out the form below to let us know the items you need. Not all items listed are in stock at all times. We do our best to fullfill your requests as much as possible. We will email or call you with a date and time that you may pick up your items.
Student Name
*
First Name
Last Name
Student's Panola College Student ID #
*
Email where you can be reached
*
Confirmation Email
example@students.panola.edu
Phone Number
*
Where do you currently live?
*
On-campus
Off-campus
Other
Number of people in household:
*
Number of children in household:
*
For pick-up, which Panola College location would you prefer to pick up items?
*
Please Select
Carthage
After-hours in Carthage
Marshall
Center (SRTC)
Center (SCC)
Emergency Aid Office
Please select the food items below for which you have a need:
Apple Sauce
Cereal
Snack Crackers - Cheese
Snack Crackers - Peanut
Crackers - Ritz
Crackers - Saltine
Canned Fruit
Granola Bars
Grits - Individual
Instant Potatoes
Jelly
Macaroni & Cheese - Box
Macaroni & Cheese - Individual
Oatmeal
Pasta
Pasta Sauce
Peanut Butter
PopTarts
Ramen Noodles - Beef
Ramen Noodles - Chicken
Rice
Rice-A-Roni
Please select the CANNED food items below for which you have a need:
Beef ravioli
Baked Beans
Black beans
Canned chicken
Carrots
Chicken and dumplings
Chicken noodle soup
Chili with beans
Chili without beans
Corn
Cream of chicken soup
Crushed tomatoes
Diced tomatoes
Fruit
Green beans
Kidney beans
Mixed vegetables
Navy beans
Paste tomatoes
Peas
Pinto beans
Potatoes
Refried beans
Spam
Stewed tomatoes
Tomato soup
Tuna
Vegetable soup
Vienna sausage
Please select the toiletries items below for which you have a need:
Shampoo
Deodorant
Conditioner
Feminine Products - Liners
Feminine Products - Pads
Feminine Products -Tampon
Lotion
Shaving Cream
Men's Body Wash
Razors
Women's Body Wash
Wash Cloths
Toothbrush
Toothpaste
Bar Soap
Band-Aids
Cotton Balls
Detergent
Dryer Sheets
Paper Towels
Q-Tips
Toilet Paper
Towels
Do you have another item need that is not listed above?
*An entry here does not guarantee receiving this item(s), but will help us know what else may be needed in our closet.
How did you hear about this program? (select all that apply)
*
*
Submit
Should be Empty: