Interested in an ABC Opening?

Great! To ensure a smooth process, we kindly request you to share all the relevant details explaining why you believe you are the ideal candidate for the position you were contacted about. Your input will be immensely helpful in our discussion with the family who is considering hiring you. If you have any additional comments that you would like to convey to your counselor before she speaks 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 better expand on your specific feelings, questions, and enthusiasm for the position when we communicate with the family. The level of elaboration we can bring to the table depends on the amount of information you share with us about your interest. So, feel free to provide us with as many details as possible!

Thank you for submitting your profile. We appreciate your interest in our services. Rest assured, we will be in contact with you shortly to provide feedback based on the family's review of your profile. We highly value your patience and look forward to connecting with you soon. 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: