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 Registered Nurse from the Maryland State Board of Nursing, or a license recognized by the Multi-State Compact agreement?

If yes, please provide your license number, expiration date and state (if it is a compact state). Not providing this information may result in disqualification.  If you do not possess this license please write N/A.

Describe your experience in an administrative, supervisory, consultative, or teaching capacity as a registered nurse. 

Include name of employer, job title, dates employed, and hours worked per week for each relevant position.  If you do not have this experience, put N/A in the box below.

Do you possess at least one year of experience in NICU/special care nursery, mother/baby or inpatient pediatric nursing?

If you answered yes to the above question, please describe your experience.  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. 

Describe your experience with NICU/special care nursing to identify the pathology of a sick infant and how this illness may affect the newborn screening results or to determine if baby's symptoms may be related to the newborn screening result.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.