Application for Reduced Meal Plan

Applications should be submitted yearly, two (2) weeks prior to the beginning of the academic term.
Please read the following exceptions carefully before completing this application.

It is the policy of the University that ALL resident students must participate in a meal plan.
However, those who qualify as an exception may participate in one of the reduced meal plans.

Students who eat with parents, close relatives, or a legal guardian.** A letter from a parent or legal guardian is required with this exception.
Students whose meals are provided as a part of their work agreement.** A letter from a parent or legal guardian is required with this exception. ** A letter from your employer is required.
Students who are student teaching.
Students whose work and class schedule conflict with the meal schedule.** A letter from a parent or legal guardian is required with this exception. ** A detailed class and or work scheduled is required. Please complete the bottom of this form, showing your work/class conflicts with each mealtime. ** If conflict is due to work schedule, a letter from employer verifying hours is required.
Students who have medical concerns certified by the University Health Clinic.** A letter from a parent or legal guardian is required with this exception. ** If your exemption is based on a medical condition, a letter from your healthcare provider on his/her letterhead stating why it is medically necessary for you to be on a modified meal plan, along with medical tests conducted (e.g., allergy and laboratory testing results) must be included with your application.

Students who live in Aldersgate Commons. (Must participate in a meal plan.)
* Note: Students who live in Aldersgate Commons are permitted to enroll in a 7 Meal Plan or a 95 Block Plan, and do not need to complete this application. Contact the Student Accounts Office at extension 2330 if you have questions about these meal plans.
Applications must be submitted two (2) weeks prior to the beginning of the academic term. Applications should be submitted to: Assistant Vice President for Business Affairs, located on the 2nd floor of the Hager Administration Building or email business.office@asbury.edu
A new application must be submitted each year.
There will be a $10 late filing fee charged if the application is received less than one week before registration.
Applications will be accepted only through Drop/Add. Only applications in cases of extenuating circumstances will be considered after the end of Drop/Add. Students filing after the deadline will be charged for current board until the application is processed.
Students who are classified as dependents must have written permission from parents to request a meal plan change. This permission letter must be from the parent and sent directly to the Assistant Vice President for Business Affairs.
A student whose application is denied may appeal the decision to the Room/Board Appeals Committee to determine if extenuating circumstances warrant an exception to the guidelines. The letter of appeal should be addressed and sent to Room/Board Appeals Committee, Attention: Chair of the Appeals Committee.
Questions should be directed to the Assistant Vice President for Business Affairs at (859) 858-3511, extension 2140.

Your Information

* Legal First Name:

Middle Name:

* Legal Last Name:

* Marital Status:

* Sex:

* Which semester are you applying for?

* Select your class level for the next semester:

Major:

* Birthdate:

Asbury Email Address (if you are a new student and have not been given your Asbury email address yet, leave this field blank):

Cell Phone #:

Mailing Address

Country

Street

City

Region

Postal Code

Reduced Meal Plan Application

Please indicate which criteria you meet for a reduced meal plan.

Will eat with parents, close relatives, or a legal guardian

Meals provided as a part of work agreement

Student teaching

Work and class schedule conflict with the meal schedule

Medical concerns

**ALL SUPPORTING DOCUMENTATION SHOULD BE SUBMITTED WITH YOUR APPLICATION**

Please upload supporting documents here:

Hours Being Attempted:

Have you been previously approved to be on a reduced meal plan?

How many semesters have you previously been approved for?

Asbury University ID #:

Residence Hall and Room Number:

Parent(s) Name:

Parent(s) Telephone:

Parent(s) Address:

Country

Street

City

Region

Postal Code

Have your parents/guardian given consent? (You must submit a parent/guardian letter with your application)

Where will you be eating your meals?

Name of Employer:

Clearly state your reason(s) for requesting the reduced meal plan.

List the class or work conflicts you have below. Please be specific on times/activities.

Monday

Conflict Type:

Breakfast: 7 - 9am

Conflict Type:

Lunch: 11am - 1:30pm

Conflict Type:

Dinner: 4:45 - 6:45pm

Tuesday

Conflict Type:

Breakfast: 7 - 9am

Conflict Type:

Lunch: 11am - 1:15pm

Conflict Type:

Dinner: 4:45 - 6:45pm

Wednesday

Conflict Type:

Breakfast: 7 - 9am

Conflict Type:

Lunch: 11am - 1:30pm

Conflict Type:

Dinner: 4:45 - 6:45pm

Thursday

Conflict Type:

Breakfast: 7 - 9am

Conflict Type:

Lunch: 11am - 1:15pm

Conflict Type:

Dinner: 4:45 - 6:45pm

Friday

Conflict Type:

Breakfast: 7 - 9am

Conflict Type:

Lunch: 11am - 1:30pm

Conflict Type:

Dinner: 4:45 - 6:45pm

Saturday

Conflict Type:

Lunch: 10:30am - 12:30pm

Conflict Type:

Dinner: 5 - 5:45pm

Sunday

Conflict Type:

Breakfast: 8 - 9am

Conflict Type:

Lunch: 12 - 1:30pm

Conflict Type:

Dinner: 5 - 5:45pm

Notes (optional):

I have read this application and I agree to the conditions as stated.

Type your name to indicate you agree with the above statement.

YOUR APPROVAL OR DENIAL WILL BE EMAILED TO YOU. PLEASE CHECK YOUR CAMPUS EMAIL REGULARLY.
IF YOU ARE APPROVED, YOU MUST SELECT YOUR MEAL PLAN THROUGH BUSINESS AFFAIRS.