Libby's Place Request Checkboxes

Libby's Place Request Form

Libby's Place is here to assist you throughout the year. AU students can visit Libby's Place once per week.

Libby's Place is located at the Wackerlin Center for Faith and Action, 430 S. Evanslawn Ave.

Please make up to 15 complimentary item selections.

If you have any questions, contact Justin West at juwest@aurora.edu or call 630-844-5142.

First Name: Required Field

Last Name: Required Field

Primary E-mail: Required Field

Phone Number: Required Field

Student ID Number: Required Field

Pick Up Time

Please select your preferred pick up time. Please complete the request form at least 24 hours in advance of your selected pick up time.

Please select your pick up time for this week: Required Field

Please select your pick up time for this week: Tuesday 9:30 a.m.-12:30 p.m.
Thursday 9:30 a.m.-12:30 p.m.
None of these times work for me

If you selected 'none of these times work for me' we will be in contact with you to schedule a time.

Breakfast Foods

Cereal

Granola Bars

Oatmeal (3 packets)

Pancake Mix

Syrup

Canned Fruit (limit 3)

Fruit Cocktail

Peaches

Pears

Pineapple

Canned Vegetables (limit 3)

Corn

Carrots

Green Beans

Peas

Pasta Sauce

Salsa

Soup

Chicken Noodle Soup

Tomato Soup

Vegetable Soup

Other Foods

Bread

Crackers

Pudding

Jello

Applesauce

Mac and Cheese (box)

Mac and Cheese (single serving)

Noodles

Ramen (beef)

Ramen (chicken)

Tuna

Peanut Butter

Strawberry Jelly

Grape Jelly

Canned Ravioli (Beef)

Canned Spaghetti w/ Meatballs

Hygiene Items

Body Wash/Soap

Deodorant

Shampoo

Toothbrush

Toothpaste

Feminine Pads

Feminine Tampons

Shaving Foam

Disposable Razor

Dental Floss

Notes

Please provide any notes or instructions including any allergies or dietary preferences:

Have you signed the Libby's Place waiver form this semester? Required Field

To submit the request form, select 'Save and continue' below: