00 Play Arts Pre-Interview Questionnaire

Pre-Interview Questionnaire
Provide your FULL Legal Name
First name Last name
Preferred pronouns
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Required Clearances (Action Required)

Childcare Employment History

As a licensed provider, PlayArts' staff must have a minimum of TWO (2) YEARS (2,500 hours) of verifiable childcare or teaching experience, as required by PA state law. Please complete the questions below to determine your eligibility for hire. If hired, any listed employers must complete an employment verification form for your file. Input as many verifiable, childcare jobs as is needed to add up to two (or more) full years. PLEASE DO NOT ADD JOBS THAT ARE NOT CHILDCARE OR TEACHING-RELATED: THEY ARE NOT APPLICABLE FOR THE PURPOSES OF THIS FORM. Please start with any CURRENT or MOST RECENT work experience.
Name of Employer 1
Job Title
Type of work responsibilities (i.e. preschool teacher, camp instructor, childcare, babysitting, nannying, swim lessons, family childcare etc.)
Do you still currently work in this role?

Other
Was this a continuous, year-round role or a seasonal/short-term role (e.g., Summer Camp, Holiday help)?
Employment Duration & Hours

For continuous year-round roles, enter your start and end dates below. For seasonal or short-term roles, enter your weekly hours, weeks worked per season, and total seasons worked below to calculate your total accrued hours.
Total weeks worked per year (e.g., 8)
Average hours worked per week
Total numbers of seasons/years worked in this role
Total Seasonal Hours Calculator
From:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Total number of hours per week (on average) that you worked during this period.
Number of months worked
Hours per month
Total hours worked during this period
Total Years Worked for this employer:
Would you like to add another childcare-related employer or experience? Please note: Candidates must provide at least two (2) years (2,500 hours) of combined childcare experience, including formal and/or informal experience, to be considered for this position. Questionnaires that do not show at least two years of childcare experience will not be accepted, and the candidate will not be invited to interview. (Salary placement will be calculated based on total years of formal childcare experience.)

Childcare Employment History

(Employer 2)
Name of Employer 2
Job Title
Type of work responsibilities (i.e. preschool teacher, camp instructor, childcare, babysitting, nannying, swim lessons, family childcare etc.)
Was this a continuous, year-round role or a seasonal/short-term role (e.g., Summer Camp, Holiday help)?
Employment Duration & Hours

For continuous year-round roles, enter your start and end dates below. For seasonal or short-term roles, enter your weekly hours, weeks worked per season, and total seasons worked below to calculate your total accrued hours.
Total weeks worked per year (e.g., 8)
Average hours worked per week
Total numbers of seasons/years worked in this role
Total Seasonal Hours Calculator
From:
To:
Total number of hours per week (on average) that you worked during this period.
Number of months worked
Hours per month
Total hours worked during this period
Total Years Worked for this employer:
Would you like to add another employer?

Childcare Employment History

(Employer 3)
Name of Employer 3
Job Title
Type of work responsibilities (i.e. preschool teacher, camp instructor, childcare, babysitting, nannying, swim lessons, family childcare etc.)
Was this a continuous, year-round role or a seasonal/short-term role (e.g., Summer Camp, Holiday help)?
Employment Duration & Hours

For continuous year-round roles, enter your start and end dates below. For seasonal or short-term roles, enter your weekly hours, weeks worked per season, and total seasons worked below to calculate your total accrued hours.
Total weeks worked per year (e.g., 8)
Average hours worked per week
Total numbers of seasons/years worked in this role
Total Seasonal Hours Calculator
From:
To:
Total number of hours per week (on average) that you worked during this period.
Number of months worked
Hours per month
Total hours worked during this period
Total Years Worked for this employer
Would you like to add another employer?

Childcare Employment History

(Employer 4)
Name of Employer 4
Job Title
Type of work responsibilities (i.e. preschool teacher, camp instructor, childcare, babysitting, nannying, swim lessons, family childcare etc.)
Was this a continuous, year-round role or a seasonal/short-term role (e.g., Summer Camp, Holiday help)?
Employment Duration & Hours

For continuous year-round roles, enter your start and end dates below. For seasonal or short-term roles, enter your weekly hours, weeks worked per season, and total seasons worked below to calculate your total accrued hours.
Total weeks worked per year (e.g., 8)
Average hours worked per week
Total numbers of seasons/years worked in this role
Total Seasonal Hours Calculator
From:
To:
Total number of hours per week (on average) that you worked during this period.
Number of months worked
Hours per month
Total hours worked during this period
Total Years Worked for this employer:
Would you like to add another employer?

Childcare Employment History

(Employer 5)
Name of Employer 5
Job Title
Type of work responsibilities (i.e. preschool teacher, camp instructor, childcare, babysitting, nannying, swim lessons, family childcare etc.)
Was this a continuous, year-round role or a seasonal/short-term role (e.g., Summer Camp, Holiday help)?
Employment Duration & Hours

For continuous year-round roles, enter your start and end dates below. For seasonal or short-term roles, enter your weekly hours, weeks worked per season, and total seasons worked below to calculate your total accrued hours.
Total weeks worked per year (e.g., 8)
Average hours worked per week
Total numbers of seasons/years worked in this role
Total Seasonal Hours Calculator
From:
To:
Total number of hours per week (on average) that you worked during this period.
Number of months worked
Hours per month
Total hours worked during this period
Total Years Worked for this employer:
Would you like to add another employer?

Childcare Employment History

(Employer 6)
Name of Employer 6
Type of work responsibilities (i.e. preschool teacher, camp instructor, childcare, babysitting, nannying, swim lessons, family childcare etc.)
Was this a continuous, year-round role or a seasonal/short-term role (e.g., Summer Camp, Holiday help)?
Employment Duration & Hours

For continuous year-round roles, enter your start and end dates below. For seasonal or short-term roles, enter your weekly hours, weeks worked per season, and total seasons worked below to calculate your total accrued hours.
Total weeks worked per year (e.g., 8)
Average hours worked per week
Total numbers of seasons/years worked in this role
Total Seasonal Hours Calculator
From:
To:
Total number of hours per week (on average) that you worked during this period.
Number of months worked
Hours per month
Total hours worked during this period
Total Years Worked for this employer:

Pre-Interview Questionnaire

Childcare Employment History

Employment Duration & Hours

Childcare Employment History

Employment Duration & Hours

Childcare Employment History

Employment Duration & Hours

Childcare Employment History

Employment Duration & Hours

Childcare Employment History

Employment Duration & Hours

Childcare Employment History

Employment Duration & Hours