Interested in an ABC Opening?

To ensure a smooth process, we kindly request that you provide us with all the necessary information about why you believe you are the ideal candidate for the family you have been contacted about. This will help us better understand your thoughts and emotions regarding the specific position. Your input will greatly assist us in further conversations with the family who is considering hiring you. If there are any additional comments or thoughts you would like to share with your counselor before she discusses your profile 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 provide us with specific details about your interest will directly correlate to our ability to elaborate to the family your specific feelings, questions, and enthusiasm towards the position!

Thank you for submitting your profile! We appreciate your interest and will review it thoroughly. We will be in touch with you soon regarding any feedback the family provides after reviewing your profile. We value your patience and look forward to getting back to you promptly. Thank you once again for your submission!

*	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: