Interested in an ABC Opening?

We appreciate your interest in the family opening that you were contacted about. To help us better understand why you believe you would be the ideal match for the family, we kindly request you to take a moment and provide us with all the necessary details about your thoughts and feelings. These insights will assist us in discussing you further with the family who is considering hiring you. If you have any additional comments that you would like to share with your counselor before she speaks with the family, please do so in the Additional Comments section at the end of this form.

We encourage you to provide as many details as possible about your interest, as this will enable us to convey your specific emotions, inquiries, and excitement to the family in a more comprehensive manner.

Thank you for submitting your profile. We appreciate your patience as we wait for the family to review it. We will be sure to reconnect with you in the near future to share any feedback they provide.

*	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: