Interested in an ABC Opening?

Great! To streamline the process of expressing your thoughts and emotions about the specific job opportunity with the family that reached out to you, we kindly request you to take a moment to provide us with all the necessary details highlighting why you believe you are the ideal candidate for this position. Your feedback will be crucial in further conversations between us and the family who is considering hiring you. If you have any additional remarks that you would like to share with your counselor before she discusses your application with the family, please feel free to include them in the Additional Comments section at the end of this form.

The level of detail you provide about your interest is directly related to the extent to which we can expound on your specific feelings, inquiries, and enthusiasm for the role when communicating with the family!

Thank you for sharing your profile with us! We appreciate your patience as the family reviews it. Rest assured, we will be in contact with you very soon to discuss the feedback they provide. We look forward to speaking with you again!

*	Indicates Required Field
Your last name:*
Your first name:*
Your contact number:*
Your e-mail:*
Family ID number:*
Date You Can Start:*	(MM/DD/YYYY)
Best Time to Call You:*	(HH:MM)
Position city and state:
Your approx. Drive time to family's home:*	(minutes)
Are you comfortable with this drive?*	Yes No
Time spent with family:*	(X hours X minutes)
Did you meet both parents?*	Yes No
Who did you meet with?
How much did you like the family?*
If offered this position, how soon would you be able to start?*	(MM/DD/YYYY)
Were you able to interact with the children?*	Yes No
If so, how well did the children connect with you?
Did you feel comfortable around the family?*	Yes No
If I worked for this family I feel we would...
Did the family discuss having a second interview?*	Yes No
Did the family discuss a salary or hourly wage with you?*	Yes No
If so, how much was discussed?
Did the family mention a start date?*	Yes No
If so, when?	(MM/DD/YYYY)
Did the family discuss duties they would expect you to do?*	Yes No
If so, what types of things were discussed?
Additional comments: