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HOME
Employment Opportunities
Menus & Nutrition
Dining With Us
McNichols Campus
Titan Dining Room
The Loft
The Bookmark
Resources
Plans & Pricing
Sustainability
Catering
About
Allergies
Contact
Food Allergies and Sensitivities Form
To better serve you, please complete the following for our culinary team. A member of our management team will review and will contact you within 48-hours.
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Please choose your allergy/ies from the list below
*
Fish
Shellfish
Tree Nuts
Peanuts
Dairy
Eggs
Soy
Wheat
Other
Other
*
How severe is your allergy?
*
What triggers your allergy? E.g. ingestion, inhaling, contact, etc.
*
Do you wear a medic alert bracelet?
*
Yes
No
Do you carry an epi pen?
*
Yes
No
Is there anything else we should know about your allergy?
*
Submit
HOME
Employment Opportunities
Menus & Nutrition
Dining With Us
McNichols Campus
Titan Dining Room
The Loft
The Bookmark
Resources
Plans & Pricing
Sustainability
Catering
About
Allergies
Contact
