Language
English (US)
ASI Food Pantry Lockers
Hello Hornets! Please note that we can not guarantee inventory of specific items, however we will do our best to fulfill your orders! You may utilize this service ONCE a week.
Name
*
First Name
Last Name
Sac State Student ID Number
*
CSUS Email (SAC STATE EMAIL ONLY)
*
example@csus.edu
Phone Number
*
Please enter a valid phone number.
Appointment
*
Select your items
The next few questions will allow you to choose items you would like included in your locker. Each section has a limit of items you can choose. The options remain vague as our inventory changes quickly. We will do our best to fulfill your order as selected however please note that we cannot guarantee inventory of any specific items. Thank you!
Please list any dietary restrictions we should know when preparing your items.
Blue Section: Toiletries & Cleaning supplies
*
Hand Sanitizer (2=1)
Shampoo
Sauve Men's Shampoo
Conditioner
Hand Soap
Colgate Toothpaste
Dove Bar Soap
Irish Spring Bar Soap
Toothbrushes (2-pack)
Toilet Paper
Tide Pods (4)
Surprise Me
None
Green Section: Ingredients/Small side dishes
*
Green Beans
Surprise me
None
1 Box Kind Granola Bars (5)
1 Box Minis Chocolate Protein Bars (4)
Organic Pinto Beans
Yellow Section: Prepared Meal Items
*
Campbell's Tomato Soup (3=1)
None
Three Cheese Pasta Sauce
Creamy Peanut Butter
Surprise me
Red Section: Multiple Meal Items
*
Surprise me (2)
None
Long Grain Rice
Purple Section: Take What You Need
*
Multi Grain Cereal (1 item)
Honey Bars (5 items)
Multi Grain Cereal (2 items)
Honey Bars (10 items)
Multi Grain Cereal (3 items)
Honey Bars (15 items)
Mac & Cheese (2 items)
Pasta (2 items)
Mac & Cheese (4 items)
Pasta (3 items)
Mac & Cheese (6 items)
Pasta (4 items)
Corn (2 items)
Tuna (2 items)
Corn (4 items)
Tuna (4 items)
Corn (6 items)
Tuna (6 Items)
None
Do you need your locker to be below waist height?
Yes
Doesn't Matter
I understand that I must bring my own bag to pick up my items.
*
I understand
I understand that if I fail to fill out the provided cancellation form & fail to pick up within my appointment time, this will result in having to use the food pantry only in person.
*
I understand
I understand that I have until the NEXT day of my appointment time, 1:00pm, to pick up my items.
*
I understand
Submit
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