BILLET HOME APPLICATION
HOST #1 INFORMATION
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Employer
*
Occupation
*
Describe your hours of work
*
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HOST #2 INFORMATION
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Employer
Occupation
Describe your hours of work
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HOME INFORMATION
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Home
*
Single Family
Duplex/multifamily
Condo/Apartment
Farm/acreage
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ADDITIONAL HOME INFORMATION
Who else lives in the home
Rows
FIRST NAME
LAST NAME
AGE
RELATIONSHIP
#1
#2
#3
#4
#5
#6
Does anyone in the home smoke or vape?
*
Yes
No
Do you have any pets? If so please list:
*
How is your pet with new people entering the home?
Tell us a bit about your family and why you would like to be a billet home:
*
What are your families hobbies and interests
*
Is your family involved in any sports?
*
Are you familiar with Fort Sask Minor Hockey and our program
*
Yes
No
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MEALS
Do you have family meals most nights?
*
Almost always
Sometimes
Depends on hockey schedule
never
What are common meals in your home?
*
Will snacks be available for the billet at all times?
*
yes
no
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ACCOMMODATIONS
Is there a private bedroom available for the billet
*
yes
no
If yes, does the bedroom have any of the following: (select all that are available)
*
Bed
Closet
Desk
Dresser
End table
Does your home have WIFI available for the billet?
*
yes
no
If the billet has a license and a car is there parking available at or near your home?
*
yes
no
ADDITIONAL INFORMATION FOR BILLET
How do you feel about the billet having friends over
*
Absolutely with permission
Will not allow friends over
Other
Would you allow the billets family over to visit him in your home when they are in town?
*
yes
no
What are some of the rules in your home the billet is expected to follow?
*
Would the billet be expected to help around the home with chores?
*
How would you address behaviour problems?
*
Host #1
*
Host #2
Submit
Should be Empty: