Therapist Applicant Screening Form
Name
*
First Name
Last Name
Pronouns
Email
*
Phone Number
Please enter a valid phone number.
City where you reside?
Do you have a license in a mental health discipline in the state of Washington?
*
Yes
No
I am eligible but have not applied
I have applied but I am pending approval
What license do you have or are you eligible for?
*
How did you hear about our open position?
Please upload your resume.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload your cover letter.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How many clinical client hours would you be able to provide each week? (Full time is 21+ per week, Part-Time is 15+ per week - we cannot offer positions with less than 15 hours per week.)
*
How comfortable do you feel providing virtual therapy services and working from home?
Not at all
1
2
3
4
5
6
7
8
9
All for it!
10
1 is Not at all, 10 is All for it!
How comfortable do you feel providing in-person therapy services at our offices?
Not at all
1
2
3
4
5
6
7
8
9
All for it!
10
1 is Not at all, 10 is All for it!
Are you interested in running therapy groups?
Yes
No
Why do you want to work at Seattle Play Therapy?
What can you bring to SPT that sets you apart from other candidates?
What training have you received in using play therapy in your work with children?
How would you explain play therapy to a parent or someone who doesn't know about play therapy?
What client populations might you struggle with? Where are your strengths?
What is your experience working with people of diverse backgrounds such as (races, cultures, sexual orientations, gender identities, differently abled, neurodivergent, religions etc.)
When you are stuck with a task or have questions related to your job responsibilities, what is your process in getting your questions answered?
What are your personal and professional goals over the next 1-3 years?
What else is important for us to know about you?
How would you rate yourself on a scale of 1-10 in terms of completing paperwork/documentation and meeting deadlines?
Poor
1
2
3
4
5
6
7
8
9
Great
10
1 is Poor, 10 is Great
How would you rate yourself on a scale of 1-10 regarding your efficiency with navigating/utilizing technology successfully?
Poor
1
2
3
4
5
6
7
8
9
Great
10
1 is Poor, 10 is Great
Submit
Should be Empty: