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.***

I Authorize the release of information to the Maryland Department of Labor or any of Labor’s duly authorized agent(s), relating to my activities from individuals, schools, residential management agents, employers, or other sources of information. This information may include, but is not limited to, my academic, residential, achievement, performance, attendance, disciplinary, and employment history. I authorize the individual(s) receiving this information to use it for the determination of suitability or eligibility for employment with the Maryland Department of Labor.

I Authorize custodians of such records and other sources of information pertaining to me to release such information upon request to the Maryland Department of Labor or any of Labor’s duly authorized agent(s) regardless of any previous agreement to the contrary.

I understand and acknowledge that prior to my being offered employment by the Maryland Department of Labor; my name will be checked against files maintained by the Maryland Department of Labor, Division of Unemployment Insurance (Labor/DUI) to determine whether I owe any monies to Labor/DUI as a result of an unemployment insurance overpayment. I acknowledge that an unpaid debt may have an impact on whether or not I am offered employment.

I Understand information released by records custodians and sources of information is for official use by the Maryland Department of Labor only for the purposes of determining my suitability and qualifications for employment with Labor and may be disclosed by Labor only as authorized by law.

Photocopies of this authorization that show my signature are valid. This authorization is valid for five (5) years from the date signed or upon the termination of my employment with the Maryland Department of Labor.

Full Name:

Date signed (mm/dd/yyyy):

Other names used:

Date of Birth:

Full Social Security Number:

Are you licensed as a Certified Public Accountant (CPA)? If yes, please upload a copy of your certification. If you do not have a CPA, please enter N/A.

Do you possess a Bachelor’s degree in Accounting from an accredited college or university?

Do you have 30 college credit hours in Accounting and related courses?  Please attach unofficial transcripts to your application to document your education or include this information in the classes relevant to the job section of the application.

Do you have supervisory experience? If yes, please describe in detail your experience including names of your employer, dates of employment and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please indicate N/A.

Please describe your experience involving direct communication with Agency Heads, Directors or other key-level Executives. Please explain in detail, including dates and places of employment and the nature of the communication.