Interested in an ABC Opening?

We are excited to hear your thoughts and feelings about the specific opening with the family you were contacted about. To ensure a prompt and thorough discussion about your suitability for the position, we kindly request you to provide us with all the details explaining why you believe you would be the perfect match for the family. Your input will greatly assist us in further evaluating your qualifications in discussions with the family who will potentially hire you. If you have any additional comments you would like to share with your counselor before her conversation with the family, please feel free to include them in the Additional Comments section at the bottom of this form.

The extent to which you furnish us with information about your interest will determine our ability to communicate to the family your precise emotions, inquiries, and ardent interest in the role.

Thank you for submitting your profile to us. We greatly appreciate it. Rest assured that we will thoroughly review it. Once the family has had a chance to go through your profile and provide feedback, we will promptly get back in touch with you. Your patience is highly valued. Thank you once 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: