Candidate Pre-

Screening Questionnaire

Basic Information

1. Full Name *

2. Email *

3. Phone *

4. Preferred Method of Contact: *

Phone

Text

5. Location (City, State) *

Work Authorization & Availability

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

Yes

7. Do you have reliable transportation to work?

Yes

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

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

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)

CPR/First Aid

Child Development Associate (CDA)

Early Childhood Education (ECE) Certification

Teaching License

Other (please specify):

Specify Here

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

Yes

15. Can you provide professional references from past employers?

Yes

Work Preferences & Skills

16. What is your preferred work environment?

Daycare Center

Private Nanny

Montessori School

After-School Program

No Preference

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

Yes

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

Yes

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

Yes

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

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

Yes

23. How did you hear about us?

Job Board

Referral

Social Media

Other

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