Panola College Panola Pantry Form

Panola Pantry Request Form

Please complete the form to let us know which items you need. Please note that not all items listed may be in stock at all times, but we will do our best to fulfill your request. You will receive an email or call with the date and time when your items will be available for pickup. If you have any questions, contact Clarissa McNair at clarissa.mcnair@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*
Format: (000) 000-0000.
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 SauceCerealSnack Crackers - PeanutPopTartsCrackers - RitzInstant PotatoesCrackers - SaltineGranola BarsJellyMacaroni & Cheese - BoxPeanut ButterMacaroni & Cheese - IndividualOatmeal- IdividualPastaPeanutsPasta SauceGrits - IndividualRamen Noodles - BeefRamen Noodles - ChickenRice-A-RoniWhite RiceFruit Snacks
Please select the items below for which you have a need (CANNED GOODS):

Chef BoyardeeBaked BeansTunaBlack BeansChickenSpamChiliVienna SausagesTomato SoupRefried BeansChicken Noodle SoupSoup of Any KindBlack Eyed PeasPeasTomatoesCornPineappleGreensFruit CocktailCarrotsMandarin OrangesMixed VegetablesPeachesGreen BeansPears
Please select the items below for which you have a need (TOILETRIES):

ShampooDeodorantConditionerFeminine Products - LinersBody WashTooth BrushFeminine Products - PadsToothpasteFeminine Products -TamponLotionShaving CreamRazorsBar 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 Pantry Request Form

Please select items below: