Interested in an ABC Opening?

Wonderful! In order to expedite your thoughts and feelings, regarding a particular opening with the family you were contacted about, we ask that you please take a moment to give us all the details as to why you feel you'd be the perfect match for the family!. Your thoughts will be used to further discuss YOU with the family that is considering hiring you. If you feel there are additional comments you would like to share with your counselor, prior to her speaking with the family, please feel free to include that in the Additional Comments at the bottom of this form.

The more details you provide regarding your interest, the more we can elaborate to the family your specific feelings, questions, and enthusiasm regarding the position!

We will be back in touch with you very soon regarding the feedback the family provides after reviewing your profile! Thank you!

*	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: