Interested in an ABC Opening?

In order to facilitate your thoughts and emotions regarding the specific opening with the family that has contacted you, we kindly request that you take a moment to provide us with all the necessary details explaining why you believe you are the ideal candidate for this position. Your input will aid us in engaging in further discussions with the family who is considering hiring you. Should you have any extra comments that you would like to share with your counselor before they speak with the family, please feel free to include them in the Additional Comments section at the end of this form.

Providing us with more details about your interest will allow us to further elaborate on your specific feelings, questions, and enthusiasm for the position when communicating with the family. The greater the information you share, the better we can articulate your desires and eagerness concerning this opportunity!

Thank you for submitting your profile! Rest assured, we will be in contact with you shortly regarding the feedback we receive from the family after they review your profile. Expect to hear from us 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: