Internship Screening Form
Name
*
First Name
Last Name
Pronouns
Email
*
How did you find out about our internship program?
Please upload your resume.
*
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Please upload your cover letter.
*
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Please upload a copy of your university internship site contract.
*
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Please describe your university requirements for internship. (e.g., number of hours, supervision requirements, length of internship, etc.)
*
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 with COVID-19 protocols in place?
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 fully vaccinated against COVID-19 as required by the state of Washington for all healthcare professionals?
Yes
No
Are you available to do in-person playroom client hours on Fridays?
Yes
No
A requirement of this internship program is to dedicate 10 hours per week to direct client care. Is this something you can commit to doing?
Yes
No
A requirement of this internship program is to create and run therapeutic groups. Is this something you can commit to doing?
Yes
No
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
Why do you want to intern at Seattle Play Therapy?
What experience do you have with children and/or play therapy?
How would you explain play therapy to a caregiver?
What client populations might you struggle with? What populations do you think your would work well with?
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?
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