Student, Resident & Staff Allergen and Dietary Requirements Notification

Thank you for taking the time to complete this form.

Please update this form if anything changes and notify the Administration Office. It should take no more than 5 minutes to complete.

Please note:

All Menu items “may contain” traces of Allergenic Ingredients due to food being processed on equipment and in an environment where all food types are produced.

The Chef responsible for producing the menu items will respond to any queries from customers on request, as per the Allergen Management procedure.

If family members or regular guests need to notify us of Allergens or Dietary Requirements, please complete this form for each person and notify the Administration Office.

Please be advised if this process is not followed there will be no special meal provided or kept aside for you.

Question Title

* 1. Name and contact email

Family Name

First Name

Question Title

* 2. Please provide the following information (complete all fields that apply to you)

Morling College Student Card number (or Morling/ACT number)

Morling Residential College (MRC) resident Room number

Morling Village (Married/Families) resident Unit number

Morling Staff Card number

Morling regular visitor (please indicate what event/s you regularly attend)

Other (please indicate)

Question Title

* 3. Date you completed this form.

Date / Time

Date

Question Title

* 4. Have you completed this form before (i.e. is this updated information)?

Yes

Question Title

* 5. Do you have any Allergens or Dietary requirements?

Yes

No
(Please be advised that by indicating "no" the Chef will not provide a special meal or keep one aside for you)