Interested in an ABC Opening?

To ensure prompt consideration for the family opening you were contacted about, we kindly request you to spend a moment sharing all the specific details highlighting why you consider yourself the ideal candidate for this position. Your insights will be instrumental in our further deliberations with the family who is contemplating on hiring you. If there are any extra thoughts you wish to convey to your counselor before her conversation with the family, please feel free to include them in the Additional Comments section provided at the end of this form.

We highly encourage you to provide as many details as possible about your interest. The more information you share, the better we can communicate to the family your specific feelings, questions, and enthusiasm for the position!

Thank you for submitting your profile! We appreciate your interest in our service. After the family has had a chance to review your profile, we will contact you shortly with the feedback they provide. We value your patience and look forward to getting back in touch with you soon!

*	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: