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 an Environmental Health Specialist issued by the Maryland Board of Environmental Health Specialists? 

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.

Describe your environmental health work experience in the promotion, control, and maintenance of environmental health. 

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

Do you possess a Master's Degree from an accredited college or university?

If yes, please list your field of study.  If no, enter N/A.

Describe your experience reviewing architectural plans, HACCP plans and process for retail and manufacturing facilities.

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.

Describe your experience dealing with and working collaboratively with state, local and federal agencies, legislators, developers for new food businesses, constituents and stakeholders in the food industry, and local health departments.

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.

Describe your experience conducting inspections of food service facilities and food processing plants for licensing approval.

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.