Interested in an ABC Opening?

To facilitate your reflection on a specific job opportunity with the family who contacted you, we kindly request you to spare a moment and provide us with comprehensive details highlighting why you believe you are the ideal fit for them. These insights will assist us in conducting further discussions about you with the potential employers. If there are any additional remarks you would like to share with your counselor prior to her discussion with the family, please feel free to include them in the "Additional Comments" section at the bottom of this form.

The level of elaboration we can provide to the family regarding your interest in the position is directly correlated to the amount of detail you share. The more specific your feelings, questions, and enthusiasm, the better we can convey them to the family!

Thank you for submitting your profile! Rest assured, we will be in contact with you soon to discuss the feedback we receive from the family after they review your profile. We appreciate your patience and look forward to speaking with you 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: