Feed the Lion: Monarchs Give Back-Donation Self-Reporting Form

Thank you for participating in the Monarchs Give Back Campaign! Please take a moment to let us know how you contributed. Every dollar and every item counts toward our goal of 150,000 items.

Name Name * First Last
Email *
ODU Department or Division *
If other is chosen, please list department or Division.
Drop off Location *
If other is chosen, please list the drop off location.
Organization/Club Name (For student orgs and non-ODU departments and divisions)
Contribution *

Contribution Non-perishable food items *Monetary Donation (Please note: Monetary donations can only be given through the secure link found at https://www.odu.edu/monarchs-give-back)
Total Number of Items Donated:
(Remember: $1=1 item, 1 non-perishable=1 item, 1 box of oatmeal with 12 packets = 12 items) *
Date Date / MM / DD YYYY