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College Housing
Building a Village
Contact
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Outreach Form

Name
First Last
Phone
Date of Birth*
Date Format: MM slash DD slash YYYY
Email
Ethnicity
Address
Street Address Address Line 2 City State ZIP Code
How can we assist you? (Items Needed)
Please select any items from the list below which you are in need of:
- crib sheets
- baby bags
- full size bed sheet set
- pads
- deodorant
- tampons
- toothbrush
- toothpaste
- shampoo
- cotton balls
- Q-tips
- baby bottles
- formula
- towels
- wash cloths
- toys
- pampers
- baby wipes
- dish detergent
- twin size bed sheet sets
- paper cups
- laundry detergent
- car seats
We will do our best to provide any of these items which are in stock. You may also share any specific needs that have using the fields below.
Please share any other comments here:
Staff person you spoke with:

Contact Us

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