Emergency Housing Host Information Form  

On Campus Mom Foundation

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Email *
Form Completion Date:
 *
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Name of Host: *
Sheltering Location: (Address, City, State, Zip Code) *
Phone number: Cell (add home if applicable) *
Affiliation with Baylor University: *
Required
Please specify if there is a gender preference of student(s) you are willing to host: *
Due to allergies, please advise if there are any pets in the  home: *
Required
I am willing to provide service to students who are located at the following airport(s): *
I am willing to retrieve student(s) from the airport, provide shelter, sustenance and return student (s) to the airport: *
Submission of Identification:
Please kindly transmit an image of your state issue ID under separate cover after submission of this form to: Volunteer@ocmfoundation.org. Transmission of this document will be utilized to better facilitate the initial physical contact with the host and student.
 *
Compensation for Housing & Transportation: I agree it is my responsibility to provide The OCM Foundation, Inc. a valuation of contribution for the provision of room, board and transport expenses in exchange for a letter of contribution. *
The OCM Foundation, Inc. will serve as a bridge to connect students and/or a student's family who is in need of shelter with the host as listed above. I, the individual(s) listed above, does hereby grant permission to The OCM Foundation, Inc. to share my information when a need arises. *
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