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Student Name
KU E-mail Address (use personal email if you are a perspective student)
Which residential hall will you be living in? (Leave blank if unknown)
Food Allergy to: (check all that apply)
Dairy
Egg
Fish
Peanut
Shellfish
Soy
Tree nut
Wheat
Sesame
Other
Do you have a gluten intolerance?
Yes
No
Do you follow any of the dietary preferences listed below?
Halal
Kosher
Vegan
Vegetarian
Have you completed the application through the KU Student Access Center?
Yes
No
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