BILLET/HOST FAMILY QUESTIONNAIRE
Date: _________________________
Please be aware, this questionnaire will be used as part of the matching process of host family and player(s). Therefore,
we ask that you please attempt to answer each question as thoroughly as possible.
Host Father Name:
________
Host Mother Name:
Address:
City:
State:
Zip Code:
Home Phone:
Host Father’s Employer & Occupation:
Work Phone #:
Cell Phone #:
Email:
Host Mother’s Employer & Occupation:
Work Phone #:
Cell Phone #:
Email:
Do you have any children?
( ) Yes
( ) No
If so, please list their names and ages:
________
Other than your own children, is there anyone else living in your home (e.g., foster children, brothers or sisters, parents,
etc.?)
( ) Yes
( ) No
Please explain: __________________________________________________________________
________________________________________________________________________________________________________
High School district you live in (specific name of school & city):
Please indicate the name of your housing development:
Family’s Religious Denomination:
Do you have pets?
( ) Yes
( ) No
If yes, please describe, :
Would the player be allowed access to your personal vehicle?
(Note: Not necessary to be considered for housing program!)
( ) Yes
( ) No
Does anyone in your home smoke?
( ) Yes
( ) No
Would the Oiler player have his own room?
( ) Yes
( ) No
Would the Oiler player have his own bathroom?
( ) Yes
( ) No
Do you have a regular meal schedule?
( ) Yes
( ) No
Please explain:
________
________
________
Tell us why you would like to be an Oiler host family:
Have you ever hosted an Oiler player before, or do you know a family that has?
( ) Yes
( ) No
If yes, please list the player(s) or family:
________________
Players are given a list of “team rules” they are expected to abide by while a member of the Oilers. Briefly list your “house
rules” that players would be expected to abide by:
Personal Comments:
Please Return To:
Wooster Oilers Hockey ▪ Deborah Conrad ▪ 1536 Renwood Drive, Wooster, OH 44691
[email protected]