Candidate Pre-

Screening Questionnaire

Basic Information

1. Full Name *

2. Email *

3. Phone *

4. Preferred Method of Contact: *

Email

Phone

Text

5. Location (City, State) *

Work Authorization & Availability

6. Are you legally authorized to work in the United States?

Yes

No

7. Do you have reliable transportation to work?

Yes

No

8. What type of position are you looking for?

Full-Time

Part-Time

Temporary

Contract

9. Are you open to working flexible shifts, including evenings or weekends?

Yes

No

10. When can you start working?

Immediately

Within 2 weeks

Within 1 month

Other

Experience & Qualifications

11. Do you have experience working in a childcare or early education setting?

Yes

No

If yes, how many years?

Less than 1 year

1-2 years

3+ years

12. What age groups have you worked with? (Check all that apply)

Infants (0-1 year)

Toddlers (1-3 years)

Preschoolers (3-5 years)

School-aged children (5+ years)

13. Do you have any of the following certifications? (Check all that apply)

Specify Here

14. Have you undergone a background check in the past 12 months?

Yes

No

15. Can you provide professional references from past employers?

Yes

No

Work Preferences & Skills

17. Do you have experience with children who have special needs?

Yes

No

18. Are you comfortable preparing meals or snacks for children?

Yes

No

19. Do you have experience creating lesson plans or structured activities?

Yes

No

20. What makes you passionate about working in childcare?

Next Steps & Consent

21. Are you interested in being added to our talent pool for future opportunities?

Yes

No

22. Do you consent to a background check if required?

Yes

No

23. How did you hear about us?

Job Board

Referral

Social Media

Other

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