Interested in an ABC Opening?

In order to speed up the process of expressing your thoughts and emotions regarding the specific job opportunity you were contacted about, we kindly request you to take a moment to provide us with all the details highlighting why you believe you would be an ideal fit for the family. Your input will be utilized for the purpose of elaborating on your profile during discussions with the family who is contemplating the possibility of hiring you. Should you have any additional remarks that you would like to share with your counselor before she engages with the family, please feel free to include them in the Additional Comments section at the end of this form. Wonderful!

The level of elaboration we can offer to the family directly correlates with the amount of information you provide about your interest. The more specific your feelings, questions, and enthusiasm for the position, the better equipped we are to communicate them effectively.

Thank you for submitting your profile! We appreciate your interest in our program. Rest assured, we will promptly get back to you once we have received feedback from the family regarding their review of your profile. We value your patience and will be in touch with you very soon. 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: