Department of Budget and Management

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

Do you possess a current license as a graduate (LGSW/LMSW) or certified (LCSW) social worker from the Maryland Board of Social Work Examiners OR will you be sitting for the exam within the next 90 days?

Please provide your license number and expiration date OR the date you will be sitting for the exam. Not providing this information may result in disqualification.

Do you possess a master's degree in Social Work?

Please indicate the date that you earned your Master's degree in Social Work in the space below (i.e., May 2010). If you do not have a Master's degree in Social Work, put N/A in the space below.

Describe your professional work experience rendering clinical social work services in a health care or treatment setting subsequent to the receipt of an approved Master's degree in Social Work from an accredited college or university.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

Describe your experience interacting with communities and local agencies.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

Describe your professional experience with multi-tasking. Please provide examples. If you do not have this type of experience, please indicate N/A.

Describe your experience with communication, both oral and written. Include what type(s) of audience(s) with whom you communicate.