Request for Flowers or Fruit

The GRCC Faculty Association sends flowers or fruit baskets to a faculty member or the family members of a faculty member who is injured, in the hospital, or who passes away.

Who Qualifies?

  1. Please only request flowers when a faculty member, spouse/domestic partner, or children are hospitalized (not parents or other relatives)
  2. Please only request flowers or an appropriate contribution when a faculty member suffers the loss of a spouse/domestic partner, child/children, or mother or father (not in-laws or other relatives).

Please complete this form to submit a request.

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Your Contact Information
Your Name: 

Your Email:

Phone Number:

Department: 

Person you are requesting Flowers/Fruit for

Name: 

Name of affected faculty member:

Relationship to faculty member:

If Hospital stay, provide the hospital name: 

If Home, provide phone number:

Reason (injury, illness, death): 

Dates of funeral services or hospital stay:

Preference (if known) for flowers or fruit:

Additional Information

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Send Request