ASU Meal Plan Exemption Request Generator
Generates a prefilled PDF for you to start the meal plan exemption process for the 2022-23 School Year
Are you filling this form out for yourself or for a student?
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For Myself
For a Student
Relation to Student
*
Mother
Father
Other
Student Info
Cell Phone (Best Point of Contact)*
*
e.g. student's cell phone number's is the best since they might contact the student
Point of Contact Relation to Student
*
Self
Mother
Father
Other
Point of Contact Full Name
*
Point of Contact Email
*
example@example.com. Copy of form will be sent here.
Name of Student
*
First Name
Last Name
ASU Affiliate ID#
*
Your ASU ID or affiliate number can be found on your Sun Card listed as a 10-digit number, or you can login to My ASU and look under ID’s on the My Profile tab.
Student ASU Email Address*
*
Confirmation Email
Must enter @asu.edu email address. Copy of form will be sent here.
Exemption Request Period
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Academic Year 2021-2022
Spring 2022 Only
Academic Year 2022-2023
Exemption Request Period
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Freshman
Sophomore
Junior
Senior
Other/Grad Student
Campus*
*
Campus student is assigned to
Residence Hall*
*
Residence hall student will be residing in
Room*
*
Room # of Student
Major
*
e.g. Marketing
College
*
e.g. Fulton Schools of Engineering
Exemption Request Based On
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Medical Condition
Religious Dietary Observance
Religious Affiliation
*
Reasons for Exemption
Use each box below. Each box corresponds to a line on the PDF.
Reason for Exemption Request - Line 1
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0/100
Reason for Exemption Request - Line 2 (Optional)
0/100
Reason for Exemption Request - Line 3 (Optional)
0/100
Considering dietary needs, why meal plans offered will not satisfy dietary requirements
Use each box below. Each box corresponds to a line on the PDF.
Considering dietary needs, why meal plans offered will not satisfy dietary requirements - Line 1
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0/100
Considering dietary needs, why meal plans offered will not satisfy dietary requirements - Line 2 (Optional)
0/100
Considering dietary needs, why meal plans offered will not satisfy dietary requirements - Line 3 (Optional)
0/100
Date Signed
/
Month
/
Day
Year
Date Signed (optional, can print and sign)
Student Signature
You can add a digital signature here or print and sign
Save
Submit
Should be Empty: