>Residency Program Information

All billet program host applicants must fill out this form and obtain a criminal record check for all individuals residing in the home over the age of 19 years.

The information you provide on the attached forms will enable us to assess your suitability for our Billet program. This application will be regarded as confidential and will be used for the above stated purposed. In this process, to best match players with families, some information may be disclosed to relevant third parties, including players and their families and/or agents.

* required information
Whitecaps FC Billet Host Application 
Address Information
Address Line 1:*
Address Line 2:
City:*
Postal Code:*
Primary Email:*
Phone:*
Fax:
Mailing Address(if different from above):
Last Name:*
First Name:*
Occupation:*
Birth Date:*(mm/dd/yyyy)
Cell Phone:
Business Phone:
Secondary Email:
Please describe your work schedule:*
Last Name(2):
First Name(2):
Occupation(2):
Birth date(2):
Cell phone(2):
Work Phone(2):
Secondary Email(2):
Relationship to Primary Applicant:
Please describe your work schedule(2):
Please list all other residents of the home(full time or part time) and their ages:
Languages spoken in home:*
Activites your family enjoys together:*
Activites you would like to include player in:*
Do you have affiliations with any Churches in your area?(Optional):
If yes, which Church?(Optional):
How many bedrooms are available for players?:*
No.of levels:*
Approx Square Feet:*
Age of Home:*
Internet hook-up available:* Yes
No
If yes, is wireless available: Yes
No
Tv in room:* Yes
No
If no, access to TV?: Yes
No
Do you have pets? If so, what kind?:*
Does anyone in your family smoke?:* Yes
No
Do you allow smoking in your home?:* Yes
No
Description of rooms:*
Bed:* Single
Double
Queen
Bathroom:* Shared
Private
Have you hosted students/players before?:* Yes
No
If yes, which agencies have you been involved with?:
Are you currently hosting other students?:*
Why do you want to host a Whitecaps player?:*
Where did you hear about the billet program?:
Please describe your eating schedule:*
What sort of foods do you cook?:*
Please indicate if you could accomodate players with the following dietary restrictions:* Vegetarian
Vegan
Gluten Free
No Chicken
No Seafood
No Beef
Diabetic
No Pork
No Dairy
Nut Allergy