Food Pantry Intake Form

Food Pantry Intake Form

The SFU/SFSS/GSS Food Pantry aims to support food insecure students with emergency top-up food and hygiene supplies. We want to ensure that the Pantry continues to improve its service to SFU students. The information we collect will help us ensure we continue to meet student needs safely and responsibly as they emerge. We look forward to seeing you!
COLLECTION NOTICE

The information on this form is collected under the authority of the University Act (R.S.B.C. 1996, c.468). It will be used to better understand how the Pantry can improve its services. Your first name will be used to help verify your identity as a student when you arrive at the Pantry. Your phone number is required for contact tracing purposes. If you have any questions about the collection and use of this information, please contact SFSS at food-community@sfss.ca.
Have you attended The Pantry before?*

YesNo
I will be visiting the SFU Food Pantry on:*

DayMonthYear
We are open every Wednesdays ONLY (except statutory holidays) Please submit one form per week.
Will you be accessing the SFU Community Free Fridge when you use the SFU Food Pantry?*

YesNo
Student ID*
Student ID*
First Name*
(We use your first name to help us check your student ID quickly at the Pantry)
City of Residence*
Please select which category best describes you:*

Undergraduate studentGraduate studentStaff/past staffUniverCity resident
Email Address*
Please use your SFU email address
Email Address*
Are you an international student?*

YesNo
Do you live in an SFU residence?*

YesNo
How many people in your household might you share this food with (including yourself)?*
We know the Pantry will benefit most from student thoughts and perspectives. Can we contact you in the future should we require your opinion?*

YesNo
Should be Empty: