Collection / Donation Box Request

Please fill out the form below to request a collection or donation box to be in any of the Residence Hall lobbies.

Please note the following policies for all requests.

Collection may take place for a maximum of one 2-week period per term.
A charge may be assessed and penalties may be imposed for not picking up your box by the date indicated.
Usage of the Residence Hall lobby space is a privilege; therefore groups are responsible for all items.
Failure to comply with the above and any other reservation or Student Handbook policy may result in the loss of a group's ability to reserve any space in the Residence Halls.
All requests should be submitted at least one week prior to requested start date
Requests will be answered via email.

Group Name

Primary Contact Name

Primary Contact Phone

Primary Contact Email

Secondary Contact Name

Secondary Contact Phone

Secondary Contact Email

Please briefly explain the nature of your collection efforts.

Box Size

Description of Box

Plan for emptying box

Please check all buildings you would like to use as a collection site.

Dropoff Date

YearMonthDay

Pickup Date

YearMonthDay