**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.**
1.
Do you possess a current license as a Registered Nurse from the Maryland State Board of Nursing, or a license recognized by the Multi-State Compact agreement?
Yes
No
2.
Please provide your license number and expiration date in the box below.
3.
Do you possess a master's degree in nursing or a related field?
Yes
No
4.
Please describe your experience as a Registered Nurse in an administrative, supervisory, consultative or teaching capacity.
Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below.
5.
Describe your knowledge of and/or experience with general acceptable standards of Advanced Practice Nursing, Midwifery and Electrology practices, procedures and policies.
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.
6.
Describe your experience conducting nursing and medical research to inquire about standards of practice for multiple specializations.
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.
7.
Describe your experience with accurate record keeping.
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.
8.
Describe your experience exercising independent judgment and discretion regarding assigned investigations.
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.
Department of Budget and Management