Interested in an ABC Opening?

To facilitate the expression of your thoughts and emotions regarding the specific vacancy you were contacted about, we kindly request that you take a moment to provide us with comprehensive details explaining why you believe you are the ideal candidate for the family. Your insights will be utilized to initiate discussions about your suitability with the family who is contemplating hiring you. Moreover, if you have any additional remarks that you would like to convey to your counselor before she engages with the family, please feel free to include them in the Additional Comments section at the bottom of this form.

In order for us to effectively convey your specific feelings, questions, and enthusiasm about the position to the family, it is crucial that you provide us with as many details as possible regarding your interest. The more information you share, the better we can elaborate on your behalf to the family.

Thank you for submitting your profile! We greatly appreciate it. Upon receiving feedback from the family, we will reach out to you promptly to discuss further. Rest assured, we will keep you updated with their response. Once again, thank you for your interest and we look forward to getting in touch 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: