Fort Valley State University Office of Residential Life A State and Land Grant University 1005 State University Drive Fort Valley, GA 31030 University System of Georgia Meal Assignme
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University Office of Residential Life
A State and Land Grant University 1005 State University Drive Fort Valley, GA 31030 University System of Georgia
Meal Assignment Request/Change Form
FY2019-2020
INSTRUCTIONS:
Students residing in the Wildcat Commons have the option to choose between Wildcat Silver, Wildcat
Gold, and Wildcat Platinum meal plans The Wildcat Blue plan is only available for students residing
in WC#1 and WC#2 Apartments
Requests for an alternate meal plan are to be recommended by the Office of the VP for Student Success
and Enrollment Management and approved by the VP for Business and Finance The meal plan
adjustment will be made to the student’s account by the Office of Residential Life upon approval
All meal-plan meals must be used in the semester for which the plan is purchased and are not
transferrable All meal plan requests must be submitted to the Office of Residential Life
Student Name: Student ID #: _
Phone Number: _Email: _
Please Print
I wish to receive this plan for:
_ BOTH Fall 2019/Spring 2020 _ Fall 2019 ONLY _ Spring 2020 ONLY
I live _ Off Campus _ On Campus
Meal Plan Request (Check One):
Wildcat Blue plus $100 $1310 Wildcat Silver plus $150 $1881
Wildcat Gold plus $200 $1930 Wildcat Platinum plus $250 $1968
OFF CAMPUS STUDENTS ONLY
Any 75 Meals ($409) _ Any 50 Meals ($306) _ Any 25 Meals ($171) _
Student Signature: Date: _
DO NOT WRITE BELOW THIS LINE
_
Student Affairs Business & Finance Occupancy Management
Date: Date: Date: