Type of Pantry Use Requested? 9 Point (Dorm Student) 16 Point (Off Campus) 25 Point (Off Campus with children)
Pantry is used to provide supplemental food and other necessities to MVCC students who are in need. I will sign in on the C3 computer each time I use the pantry. I will only use my weekly points and not take additional items, unless approved by staff for extenuating circumstances. I will not open boxes or enter the back storage area without a staff present. I will not bring non-students, family members, or friends to use the pantry; we are not a community pantry. We can make referrals to local food pantries for non-students, family members, and friends. I will not take P-TECH lunches unless they are on the bottom shelf of the refrigerator. I agree to abide by these terms and conditions, if not, my pantry use privilege will be revoked for the semester.
By my signature, I allow the C3 program to release my information for inter campus communication and referral.
Signature(Please type your name):
