Interested in an ABC Opening?

Please take a moment to provide us with all the details on why you believe you are the perfect fit for the opening with the family you were contacted about. Your thoughts and feelings are vital to expediting the process. They will be used to discuss you further with the family who is considering hiring you. If you have any additional comments you would like to share with your counselor before she speaks with the family, please include them in the Additional Comments section at the bottom of this form. Wonderful!

We highly encourage you to share as many details as possible about your interest. This way, we can effectively communicate to the family your specific feelings, questions, and enthusiasm about the position. The more information you provide, the better we can elaborate on your unique requirements and showcase your enthusiasm!

Thank you for submitting your profile! We appreciate your interest in our services. Rest assured, we will contact you shortly to discuss the feedback the family provides after reviewing your profile. We look forward to getting back in touch with you very 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: