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 Certified Social Worker, Clinical (LCSW-C) from the Maryland Board of Social Work Examiners?  If yes, please attach your license.

If you answered Yes to the previous question, please provide the license number and expiration date in the box below.  A copy of your current license or license verification should also accompany your application.

Do you have at least four years of 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?

If you answered yes, please describe this experience and include job title, dates of employment and hours worked per week. If you do not have this experience, please indicate N/A.

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 experience working with community residential programs including, but not limited to, those of the Local Behavioral Health Administration.

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 experience working with a high risk patient population.

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 experience utilizing Google Workspace to include Gmail, Google Doc, Google Sheets, Google Calendar and Google Drive.

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.