Meal Plan Waiver Request

Hawaii Loa Campus and Waterfront Lofts residents are required to purchase a meal plan. Those with specific dietary needs, food allergies or medical conditions should indicate these needs in Step 4 of the online Housing Application. The Food Services Director and Housing and Residence Life staff will work directly with students to accommodate special dietary needs or allergies.

Any exceptions to this meal plan requirement will fall under the meal plan waiver process as established by the Office of Housing and Residence Life. Policies and procedures are available in the HPU Student Handbook.

Residents requesting to waive this requirement must follow these procedures and submit his/her request by the Add-Drop deadline of the fall or spring terms in order to be considered for a waiver. Waiver requests are not guaranteed:

1. Submit a Meal Plan Waiver Request Form, including documentation to support the request (e.g., a letter or other documentation from a medical provider, religious leader, nutritionist), by the deadline:

- Fall 2023 Deadline: Wednesday, August 24, 2023.
- Spring 2024 Deadline: Friday, January 6, 2024.

2. Student is required to meet with the Food Services Director and/or Chef to discuss the meal plan waiver request. The Office of Housing and Residence Life staff will facilitate the scheduling of this meeting after the Meal Plan Waiver Request is submitted.

3. The Office of Housing and Residence Life will then review the request form, the student’s supporting documents, and the Food Services Director’s recommendation, in consultation with the Office of Accessibility Services when appropriate, to determine whether the meal plan waiver will be granted.

4. A decision will be communicated to the student via their HPU email address within 10 business days after steps 1 and 2 of this process have been completed.

Submission of this form does not constitute a waiver of the meal plan requirement. Requests received after the deadline will not be considered, unless there is a documented medical emergency. If you have questions about the process, contact housing@hpu.edu or call 808-544-1436.

Student Name Student Name First Last
HPU ID Number
HPU Email Adress (@my.hpu.edu)
Phone Phone - ### - ### ####
Residential Community:

Residential Community: Hawaii Loa Campus Waterfront Lofts
Reason you are requesting a meal plan waiver:

Reason you are requesting a meal plan waiver: Dietary - Allergies/Medical Condition Dietary - Religious/Faith-based Restrictions
Briefly describe why you are seeking a meal plan waiver:
Upload a letter of support (from a medical provider, religious leader, nutritionist) to support this request. You may also email the document to housing@hpu.edu or hand-deliver to Office of Housing and Residence Life, 1 Aloha Tower Drive.

Attach Files
I understand that this Meal Plan Waiver request is for the specified term listed above. I am responsible for any meal plan charges from the first date of meal service for the term to the date the waiver may be granted, in accordance with University policy. I agree to all of the terms and conditions above and have received and reviewed all applicable University policies referenced herein. I certify that the information contained in the Meal Plan Waiver request form is accurate to the best of my knowledge. I also understand that should any of the information submitted be determined to be false, I will be subject to disciplinary actions in accordance with the Code of Student Conduct.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
If the student is less than 18 years of age:
I represent that I am the parent or guardian of the above student, and am legally authorized to bind the participant to the terms of this agreement.

Print Parent/Guardian Name I represent that I am the parent or guardian of the above student, and am legally authorized to bind the participant to the terms of this agreement.

Print Parent/Guardian Name First Last
Parent/Guardian Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY

Meal Plan Waiver Request

Meal Plan Waiver Request

If the student is less than 18 years of age: