***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit.***
1.
Do you possess a current license as a Certified Social Worker, Clinical (LCSW-C) from the Maryland Board of Social Work Examiners?
Yes
No
2.
Do you have one year of experience providing Mental Health treatment to youth?
If yes, please describe your experience providing mental health treatment to youth. Include the name of the employer and dates of employment and hours per week worked. If you do not have this experience, please enter N/A.
3.
Describe your experience providing behavioral health services to troubled adolescents and their families. Include employer name, job title and dates of employment. If no experience, enter NA.
4.
Please describe your experience coordinating or supervising an adolescent/youth-based behavioral team. Please include your employer's name, the dates of employment, job duties, and the number of hours worked per week. If you do not have this experience, indicate N/A.
Department of Budget and Management