Interested in an ABC Opening?

Please take a moment to provide us with detailed information about why you believe you would be the ideal candidate for the family's opening. Your thoughts and feelings are essential for us to expedite the discussion about you with the family. We strongly encourage you to share any additional comments or concerns you have with your counselor prior to her conversation with the family. Your input will greatly assist in the decision-making process.

The level of elaboration we can provide to the family about your specific feelings, questions, and enthusiasm regarding the position depends on the amount of details you share regarding your interest. The more information you provide, the better we can delve into your specific feelings and inquiries towards the role.

Thank you for submitting your profile! We appreciate your interest in our organization. After the family has had a chance to review your profile, we will be sure to get back in touch with you promptly. We value your patience and look forward to providing you with feedback 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: