TLC Packages

Name*

First Last

Email*

Cell Phone*

UID*

Grad Year*

2026
2025
2024
2023

Jewish Affiliation:*

Do you give permission for us to reach out to your family to see how we can be of assistance?*

Yes
No

Parent Name

First Last

Parent Email

Which describes your current situation?*

Isolation (Positive Test Result)
Quarantine (Known Contact)
Non-COVID related illness

Can we share this information with the University health services for the benefit of health and safety at UMD?*

Yes
No

When did your isolation/quarantine begin?*

When does your isolation/quarantine end?*

Do you live on or off campus?*

On Campus
Off Campus

Dorm Name*

Room Number*

Off-Campus Address - If you live in an apartment building, please make sure to include your unit number.*

Street Address

Do you need kosher meals delivered to you?*

Yes
No

Are you looking for Soup Delivery?*

Yes
No

Are you on a Maryland Hillel kosher dining plan?*

Yes
No

What meal plan are you on?*

Platinum
Gold
Silver
Bronze

Breakfast Pantry Requests (cereal, milk, yogurt, granola bars)*

Which Meals?*

Please enter the total number of meals you would like to order here. *

Price: $16.99

Hidden

Please list which meals you need below

Please list and dietary restrictions or preferences below (vegetarian, gluten free, dairy free, etc.*

If possible please include the name(s) and cell phone # of someone who would be able to pick up and deliver your meals to you.

Would you like to make a donation to support Maryland Hillel?*

Yes
No

Please select the amount you would like to donate:*

Other Amount:*

3% Credit Card Processing Fee

Price: $0.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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