BOISE STATE
UNIVERSITY
GOODWILL
REQUEST
FORM
Name: Employee ID No.
Please Print
Title:
Department:
Contact: Campus Phone:
or
E-Mail
or
Campus
Mail
Stop:
Month
Requesting
Meals:
(Approximately 1 meal per week)
Signature D
ate
All voucher requests are confidential.
All voucher requests must be received by the GoodWill Committee no later than the 20
th
of each
month for the following month’s meal plan. Late requests cannot be considered.
Employees will be notified by email of voucher request approval or disapproval at the beginning of
the month.
Each request form is good for one month only. Separate forms must be submitted for each month.
Print Completed Form and Send To: MS
1010
(Mail Stop is
Confidential)
Committee
Employee Informed of
Decision
Approved:
Date
Disapproved:
Date:
Rev 6/04/13