Phil Station Assistance Request Form (2025)

Phil Station Request Form

To request a gift card, fill out the form below.

Things to remember when requesting assistance in the form of a gift card:
•    Must be a current VHCC student
•    Must be currently attending classes
•    Students in need of assistance will be required to fill out a Single Stop profile using this link and will be looked at on a case-by-case basis
•    Only one request per household will be filled per month with community resource information being provided to students
•    For On-Campus students – Gift cards must be picked up in the Campus Connection Center
•    For Online students – Gift cards will be mailed or can be picked up in the Campus Connection Center

Gift Card Pick Up Hours
Monday-Friday | 8am to 5pm

First Name
This question is required
Last Name
This question is required
VHCC Student ID Number
This question is required
VHCC Email Address
This question is required
Address
Street*
City/Suburb
State*
Zip/Post Code*
Country*
This question is required
City of/County Of
This question is required
Phone Number
This question is required
Can you arrange transportation to and from the grocery store?
Yes
No
Please choose an answer
How many people live in your home?
 
 
Please provide details about your current situation and reason for request.
This question is required
Submit


By submitting this request, I acknowledge that gift cards issued by the Phil Station at Virginia Highlands Community College are intended to be used only for food, toiletries and other grocery essentials. I will not use these cards in any way that is inconsistent with the purposes and policies stated in this agreement.