Employees: host a student for an event! Would you like to host an international student for one or more traditional Canadian holiday activities1 during the December break? Please complete the form below: Name:* First Last Daytime phone number:*How many students would you like to host (maximum):*Date of activity:* MM slash DD slash YYYY Description of activity (please include whether other family members will be part of the activity including the estimated total of other family members):*Location of activity (please be as precise as possible):*Do you have pets that will take part in the activity?* Yes No How manyType(s)SizesIs there anything else that you would like the student to know about you or your family prior to the activity?I confirm that the above information is true. I understand that the information provided will be used to facilitate the Home Away from Home program at Durham College of Applied Arts and Technology and also that some or all of the information will be shared with the student. I confirm 1If you are interested in hosting more than one activity, please complete a separate form for each activity. In accordance with Section 39(2) of the Freedom of Information and Protection of Privacy Act, 1990, the personal information collected on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002 and may be used and/or disclosed to administer the Home Away From Home Program. Your personal information may also be used for various administrative, statistical and/or research purposes of the College and/or ministries and agencies of the Government of Ontario and the Government of Canada. If you have any questions about the collection, use and disclosure of your personal information by the College, please contact the Freedom of Information and Protection of Privacy Coordinator, 2000 Simcoe Street North, Oshawa, ON, L1C 0C5 905.721.2000 ext. 3292.