Barrier Carryout Request form

Safer sex supplies (barrier methods) are available to all students by request. Please fill out this form, and a staff member will contact you via email within one to two working days when the request is ready for pick up. The Homewood pick-up location is at the O’Connor Recreation Center. The East Baltimore pickup location is at 2024 E. Monument Street, Suite B-1000. Requests that are not picked up within two weeks will be returned to the general stock.

Name(Required)
Type of Request(Required)
If you are an RA, please indicate which residence hall you staff.(Required)
Which items would you like to request?
Where would you like to pick up your barrier methods?(Required)