Job Applicant Screening Form
Name
*
First Name
Last Name
Pronouns
Email
*
Do you have an independent license in a mental health discipline in the state of Washington?
Yes
No
How did you hear about our open position?
Please upload your resume.
*
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Please upload your cover letter.
*
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How many clinical client hours would you be able to provide each week?
How comfortable do you feel providing virtual therapy services and working from home?
Not at all
1
2
3
4
5
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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
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4
5
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7
8
9
All for it!
10
1 is Not at all, 10 is All for it!
Are you fully vaccinated against COVID-19 as required by the state of Washington for all healthcare professionals?
Yes
No
Are you able to commit to the following days and times?
4 days per week, 20-25hrs per week
Thursdays: Telehealth
Fridays-Sundays: In-Person
Please provide a response for the question above:
Yes!
No, I cannot commit to the availability listed.
Are you interested in running therapy groups?
Yes
No
Why do you want to work with 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?
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.)
How do you describe your personal boundaries?
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
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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
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