This education template includes 10 fields. Request a change to your campus meal plan for the current or upcoming semester. Free to customize and use on ZenBuild.
Student Name (text, required)
Student Email (email, required)
Student ID (text, required)
Residence Hall (text, required)
Current Meal Plan (dropdown selection, required) — options: 7-Day Unlimited, 5-Day Unlimited, Block 150, Block 100, Commuter Plan
Requested Meal Plan (dropdown selection, required) — options: 7-Day Unlimited, 5-Day Unlimited, Block 150, Block 100, Commuter Plan, Cancel Plan
Effective Semester (dropdown selection, required) — options: Current Semester, Next Semester
Reason for Change (long text, optional)
Do you have a dietary restriction requiring this change? (multiple choice, optional) — options: Yes, No
