Resident Assistant/Greek Life Safer Sex Supplies Order Form

Orders will be ready in 3-5 business days and can be picked up from the Center for Health and Well-being CWGE KC 1201

Each order contains 50 lubricated latex condoms and 20 packets of assorted water-based lube. Packs of female/internal condoms, non-latex condoms, finger cots, or dental dams(latex or non latex) can be added on as well, each pack contains 10.

We are trusting that RAs/Greek Life House Managers will properly store the condoms (in a cool, dry place, away from sharp objects, chemicals and out of direct sunlight and out of direct fluorescent lighting). We also trust RAs/Greek Life Managers to maintain confidentiality of all individuals requesting/receiving condoms.

* denotes a required field

First Name *

Last Name *

Email *
Please enter a GVSU student email address ending in @mail.gvsu.edu.

Living Center Name and Floor or Greek Fraternity/Sorority Name *

Add Ons
Dental Dams
Dental Dams - non latex
Female/Internal Condoms
Non-Latex Condoms
Finger Cots

How did you hear about this service *

I affirm I am a GVSU Resident Assistant or Greek House Manager requesting these condoms for myself and/or my residents. I agree they will be used only by consenting individuals or distributed to residents, and will not be sold. *

Human Verification *

Page last modified September 10, 2026

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