Sick Tray - Meal Pick Up

Sick Tray - Meal Pick Up
Use this form to request one of the following:
- Option A
  A sick tray package that can be picked up by a friend.
  (Generally Sick or in isolation)
- Option B
  A packaged meal ordered from the Eatery Menu to be picked up by a friend.
  (Generally Sick or in Isolation)
What Dining Package are you requesting?*

Option A (Sick Tray Package Pick Up)Option B (Menu Order Pick Up)
Is this a weekday or weekend meal request?*

Weekday (Monday - Friday)Weekend (Saturday - Sunday)
Sick Tray Packages vare available for students who are confined to their rooms and include the following:
- Vegetable Ramen
- Broth soup cup
- Saltine Crackers
- Applesauce cup
- Jello cup
- Bottled Water
- Orange Juice
- 1 cutlery kit
Weekday Meals:

Orders must be submitted by the following times:

Breakfast - by 8:15am

Lunch - by 11:15am

Dinner - by 4:15pm

Meals can be picked up between the following times:

Breakfast 9am -10am

Lunch Noon - 1:00pm

Dinner 5:00pm - 6:00pm

Submit a new form for each meal period.
Ordering from the Menu:

You can view the dining services menu by visiting:

https://dineoncampus.com/ue/whats-on-the-menu

Available items are listed under The Eatery menu.
Weekend Meals:

Orders must be submitted by the following times:

Brunch - by 10:00am

Dinner - by 4:00pm

Meals can be picked up between the following times:

Brunch 11:00am - 2:00pm

Dinner 5:00pm - 6:00pm

Submit a new form for each meal period.
Name*

First NameLast Name
UE ID*
7 digit UE ID number
Delivery Location*
Apartment / House / Room Number*
Mobile Phone Number*

Area CodePhone Number
UE Email*
example@evansville.edu
Date for Meal*

MonthDayYear
Date
Weekday Meal Period*

BreakfastLunchDinner
Weekend Meal Period*

BrunchDinner
Brunch Quick Pick Menu:

Scrambled EggsFried PotatoesBreakfast MeatLucky CharmsTotal Raisin BranGolden GrahamsCocoa PuffsCheeriosTrixBananaAppleOrangeDaily PastryTurkey SandwichHam SandwichVeggie SandwichMilkOrange JuiceWater
Dinner Quick Pick Menu:

PizzaBurger (lettuce, tomato, onion, pickle)Chicken Sandwich (lettuce tomato, onion, pickle)Chicken TendersFrench FriesVegetable of the DayWaterPepsiMt. DewDiet PepsiSierra MistMilk
From the menu, what would you like to eat?*
https://dineoncampus.com/ue/whats-on-the-menu
From the menu, what would you like to drink?*
https://dineoncampus.com/ue/whats-on-the-menu
Chick-fil-A Combo Options (with fries, select your drink too)

Classic Chick-fil-A Sandwich Combo ($7.55)Classic Deluxe Chick-fil-A Combo ($8.25)Spicy Chick-fil-A Sandwich Combo ($7.79)Spicy Deluxe Chick-fil-A Combo ($8.49LemonadeDiet LemonadePepsiDiet PepsiMt. DewDiet Mt. DewFruit PunchSierra MistMug Root BeerSweet TeaOther
Any dietary restrictions?
Who will be picking up your meal?*

First NameLast Name
Email of person picking up your sick tray *
example@evansville.edu
Phone number of person pick up your sick tray*

Area CodePhone Number
At approximately what time will this person pick up your sick tray?*

:HourMinutesAM/PM Option
Should be Empty: