Panola College Feed The Need Form

Panola College Feed The Need Request Form

Please fill out the form below to let us know the items you need. Not all items listed are in stock at all times. We do our best to fulfill your requests as much as possible. We will email or call you with a date and time that you may pick up your items. If you have questions about this form, please reach out to Avery Malone at avery.malone@panola.edu or call 903-693-2096.
Student Name*

First NameLast Name
Student's Panola College Student ID #*
Are you currently enrolled in courses?*

YesNo
Upload a screenshot of your schedule for the current term*

The Feed the Need resource is only available to students that are taking classes in the current (Fall/Spring) semester. Failure to upload a current schedule will result in denial of service from Feed the Need.
Cancelof
Panola College Student Email*

Confirmation Emailexample@students.panola.edu
Phone Number*
Where do you currently live?*

Lawrence R. Sharp HallBuchanan HallBill O'Neal HallJ.C. Phillips HallCharles Hughes HallOff-campus
Number of people in household:*
Number of children in household:*
For pick-up, which Panola College location would you prefer to pick up items?*
Please select items below:
Please select the items below for which you have a need (BOXED GOODS):

Apple SauceSnack Crackers - CheeseCerealSnack Crackers - PeanutPopTartsCrackers - RitzInstant PotatoesCrackers - SaltineGranola BarsJellyMacaroni & Cheese - BoxPeanut ButterMacaroni & Cheese - IndividualPastaOatmeal- IdividualPasta SauceGrits - IndividualRamen Noodles - BeefRamen Noodles - ChickenRice-A-RoniWhite Rice
Please select the items below for which you have a need (CANNED GOODS):

Chef BoyardeeBaked BeansTunaBlack BeansChickenKidney BeansSpamNavy BeansChiliMixed BeansVienna SausagesChili BeansTomato SoupRefried BeansChicken Noodle SoupPinto BeansSoup of Any KindBlack Eyed PeasPeasTomatoesMixed BeansCornPineappleGreensFruit CocktailCarrotsMandarin OrangesMixed VegetablesPeachesGreen BeansPearsChef Boyardee
Please select the items below for which you have a need (TOILETRIES):

ShampooDeodorantConditionerFeminine Products - LinersMen's ShampooTooth BrushFeminine Products - PadsToothpasteFeminine Products -TamponLotionShaving CreamRazorsWomen's Body WashBar SoapDetergentBand-AidsDryer SheetsPaper TowelsQ-Tips/ Cotton BallsToilet Paper
Do you have another item need that is not listed above?
*An entry here does not guarantee receiving this item(s), but will help us know what else may be needed in our closet.
How did you hear about this program? (select all that apply)*
Should be Empty:

Panola College Feed The Need Request Form

Please select items below: