College Student Info Form

Hey! We’d love to know more about you and get your contact information so we can send you a few care packages throughout the school year. Fill out the form below.

Your Name

First Name

Last Name

Address to mail care packages to you while at school

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School you attend

What year are you in school?

What is your major?

Your Cell Phone

(###)

###

####

Which do you prefer?