LDCC West Monroe Food Bank

LDCC Faculty, Staff, & Students. Please fill out the following form to sign up for food bank services:

L-Number
Name (If you wish to remain anonymous, please leave this field blank) Name (If you wish to remain anonymous, please leave this field blank) First Last
Please select your student status:

Please select your student status: I am currently an LDCC student I am an LDCC graduate
Date Date / MM / DD YYYY
Please select your food pick-up time:
Please specify if you have any dietary restrictions: