Meal Plan Exemption
Use this form to request a meal plan exemption.
Your Full Name:
*
First Name
Last Name
Your Email:
*
example@oswego.edu
Student ID Number:
*
Your Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Class:
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate Student
Date of Birth:
*
-
Month
-
Day
Year
Date
Reason for Request:
*
Please Select
Medical Dietary Restriction
Religious Dietary Observance
Other
Other:
Submit
Should be Empty: