Food Request Application

You may request food by filling an application for food assistance and submit the application online.  You can use the computers in the library if you do not have access to a computer to do this.  If you run into difficulties, contact Helen Jones at Lyle House (142 Beller Drive), Room 100, phone 423.439.6013. 

Please try to pick up your request during the hours given in your email notification, However, when you come to pick up your food request, and if there is not anyone present in the Bucky's office, please call Helen Jones at 423.439-6013, and she will make arrangements for someone to meet with you to pick up your food.  Food Request pick-ups are only arranged Monday through Friday between 8:00 AM and 4:30 PM.  

NOTE ON USING THE REQUEST FORMS The forms below require you to login using ETSU Username and Password. You will then fill out and submit these forms online.  Once you have submitted your application you will receive status updates via your ETSU email account. 

First time requests

Returning requests

Location of Bucky's in the Mini Dome (see map below)

If you have trouble logging into these forms please contact the ITS helpdesk :   .  
If you have trouble filling out or submitting these forms
please contact Helen Jones :  



map showing where the food pantry is in the west side of the mini dome.


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