Special Dietary Form
This form is for students who have been approved through Dining Services for special accommodations for meals.
All meals need to be ordered no later than midnight the day before you’d like your meal. If you do not pick up your meal, you will be charged a meal swipe for that given meal period.
If you have any questions, please contact Charlie Rolfes at email@example.com or 217-424-6323
Please complete the below information to order your special diet meal. Each form completed is for one singular meal.
* indicates a required field