2017-2018 Housing Family Application

2017-2018 Housing Family Application

Last Name: ______

Family Members

First NameBirthdates

Father______

Mother______

Children______

______

______

______

Address: ______

______

Home Phone: ______Family e-mail:______

Father’s cell: ______E-mail: ______

Mother’s cell: ______E-mail: ______

Please place an * next to the phone number and e-mail address you would like the Musketeers office to use for communication.

Family Information

Father’s employer: ______Work phone: ______

Mother’s employer: ______Work phone: ______

Religion: ______Do you attend regularly? ______

School District: ______

Does anyone in the family smoke: ___If so, do they smoke outside? ___

What kind of pets in the house? ______

Hobbies and interests of parents & kids: ______

______

How many players would you be willing to house? ______

Would a player(s) have his own private bedroom? ______

Would a player(s) have his own private bathroom? ______If not, how many others would be sharing the bathroom? ______

Would you have any work opportunities for a player(s)? ______

Please briefly explain why you would like to house a player for the Musketeers? ______

How often and at what times can your player expect to have family sit down meals? ______

What are your family’s favorite meals? ______

What chores would a player be responsible for? ______

Please list household rules which you would want adhered to? ______

What is your opinion on players drinking, smoking, or disregarding team policy in your home? ______

______

Will you notify the housing coordinator if there are any concerns with your player or if the player is involved with any rule violations? ______

Would you be supportive if the player living with you was traded? Would you be willing to take another player? ______

Would you be able to give the player enough personal space and refrain from asking questions about the team? ______

______

USA Hockey, USHL, and the Sioux City Musketeers all stipulate background checks to be conducted and an in-home visit is made with the Housing Coordinator and/or coach. Would you oppose either of these? ______

Please take a moment to let us know how you would handle the following hypothetical situations:

a. The player staying with you has been asked to keep the bathroom he uses clean. While visiting from out of town, your mother uses the bathroom and comments about the lack of cleanliness of the bathroom and that she would never allow anyone to stay with her that did not clean the bathroom more thoroughly: ______

______

b. You repeatedly hear your player come in 15 to 20 minutes after curfew or hear him leave after curfew: ______

______

c. The player does not dress for a game for the fourth time in five games. The player makes it clear that he is doing great at practice and he is better than most of the other players on the team:

______

______

d. The player is spending most of his time with other teammates and/or his girlfriend. He is not around for meals and you barely see him other than in passing or after games:

______

______

e. You come home unexpectedly and find players and friends hanging out at your home. You suspect drinking violations. What would you do?

______

______

f. The player calls to say he will be leaving in the morning because he has been traded:

______

______

g. You are contacted by the housing coordinator and informed that due to some unforeseen circumstances the player needs to be moved:

______

______

Thank you for taking the time to complete this application. After reviewing the application, we will contact you to arrange the next step in the process, which is a visit to your home by one of our housing coordinator.

Sioux City Musketeers Hockey PO Box 3313Sioux City, IA51102 712-252-2116