Interested in an ABC Opening?

In order to effectively convey your thoughts and emotions pertaining to the specific job opportunity you were recently approached for, we kindly request that you spare a moment to provide us with comprehensive details highlighting the reasons why you believe you are the ideal candidate for the position. Your input will facilitate further deliberations between you and the family contemplating your employment. Should you wish to include any additional remarks for your counselor's consideration prior to her discussion with the family, please feel free to share them in the Additional Comments section at the end of this form.

If you can provide us with more details about your interest, we will be able to elaborate further to the family about your specific feelings, questions, and enthusiasm towards the position. The additional information you share will allow us to better communicate your level of interest and passion for the role.

Thank you for submitting your profile! We greatly appreciate it. After the family has had a chance to review your profile, we will reach out to you promptly to discuss their feedback. Rest assured that we will be in touch with you very soon. Thanks again!

*	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: