Non-Shelter Emergency Assistance

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On Campus Mom Foundation

Email *

Form Completion Date:
*

YYYY

Name of Assistance Provider: *

Location: (City and State) *

Phone number: Cell (add home if applicable) *

Affiliation with Baylor University: *

Parent

Alumnus

Required

I am willing to provide service to students located at the following airport(s): *

I am willing to retrieve student(s) from the airport, secure appropriate safe lodging, sustenance if required and return student(s) to the airport: *

Yes

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 assisting party and student.

I will be submitting an image of my state issued ID to: Volunteer@ocmfoundation.org

I will not be sharing my ID with The OCM Foundation, Inc.

Reimbursement for Costs Associated With Assistance:

Reimbursement will be provided by the student's parents or The OCM Foundation, Inc. whichever is applicable. I understand is it my responsibility to submit receipts of costs incurred within 45 days of assistance.

Yes

The OCM Foundation, Inc. will serve as a bridge to connect students and/or a student's family who is in need of assistance with the non-sheltering 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.

Yes

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