Interested in an ABC Opening?

We kindly request you to provide us with detailed information as to why you believe you would be the ideal match for the family you were contacted about. This will enable us to better understand your thoughts and feelings and expedite the process. Your input will be instrumental in our discussions with the family who is interested in hiring you. If you have any additional 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.

The more information you share about your interest, the better we can explain to the family your specific emotions, queries, and excitement about the position.

Thank you for submitting your profile! We greatly appreciate it. Rest assured, we will promptly contact you once we receive feedback from the family after they review your profile. We value your time and will be back in touch with you very soon. Thank you for your patience and cooperation!

*	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: