Snack Bar
Meal Requests
If you miss a meal due to late afternoon or evening class,
you have the option to order from the Snack Bar Menu with prior authorization.
1. Complete this form and turn it in with a copy of your class schedule or work schedule
at least 48 hours prior to the first day you come to the Snack Bar.
This request is good for the entire semester. Do not fill one out weekly.
2. You may only order from the Snack Bar, Monday-Thursdays 8:30pm-10:30pm.
3. Snack Bar meal requests cannot be ordered on days when there aren’t classes.
4. You must check-in with the cashier to be entered on the daily name roster or we will
automatically remove your authorization and you will not be able to order until the
next semester.
5. Only order from the following menu or $5.25 can be credited towards your purchase.
Special arrangements can be made to have the dinner entrée boxed as a meal.
Hamburger
Cheeseburger
Chicken Patty
Grilled Cheese or Grilled Ham & Cheese
Includes Fries or Apple & Fountain Soda
Garden Burger
6. Cash or Coupons will be accepted. No substitutions.
NAME: ____________________________________________ DATE: __________________
SIGNATURE: ______________________________________
Rec’d by Staff Name: ________________________________________________________________________
Office use only: Authorized days – Mon
Tues
Wed
Thur