Bon Appétit Management Company Food Allergy, Special Diet, and Nutrition Information Form

Bon Appétit Management Company Food Allergy, Special Diet, and Nutrition Information Form

Management of food allergies and special dietary needs in our cafes is done with your safety in mind and encourages communication between you and the culinary team on campus. Filling out this form helps us to understand your individual dietary needs and create a plan with you that ensures inclusivity and the ability to maximize your meal plan.
Full Name*

First NameLast Name
Westmont Email
example@westmont.edu
Phone Number*

Area CodePhone Number
What foods do you avoid to manage your dietary needs?*

PeanutTree nutFishShellfishSesameEggMilkSoyWheat / GlutenOther
If you checked "Wheat / Gluten", do you have:
Please give some examples of your favorite foods to eat. This allows us to ensure adequate and appropriate options for you in our cafe.
If you have an allergy, do you carry medication in case of accidental exposure?*

YesNo
If you have an allergy, do you know common sources of, and avoid, foods to which you are allergic?*

YesNo
Would you like to discuss your dietary needs with a Bon Appetit registered dietitian?*

YesNo
We'd love to get to know you!

To discuss our practices and get to know you, your food preferences, and dietary needs, we would like to take the time to meet with you in person or virtually.
Which days of the week and times are you available to meet with a manager to discuss your dining needs?
Individuals with food allergies and celiac disease are considered part of a protected class under the Americans with Disabilities Act (ADA). If you have a food allergy, you are encouraged to register with the office of Disabilities by visiting https://westmont.edu/disability-services/disability-services-dietary-accommodations
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Bon Appétit Management Company Food Allergy, Special Diet, and Nutrition Information Form

We'd love to get to know you!