**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 experience with understanding of the role of the nursing education program accreditation bodies: The Commission on Collegiate Nursing Education (CCNE), The Accreditation Commission of Education in Nursing (ACEN), The National League for Nursing Commission for Nursing Education (NLN CNEA)
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.
6.
Describe your knowledge of and experience with how nursing accreditation differs from the nursing education program Code of Maryland Regulations.
This experience must be included on your application.
Department of Budget and Management