Official SealDepartment of Budget and Management


#18-004270-0002
Supplemental Questionnaire

Last Name
First Name
1.

Candidates for positions in this classification must possess a current license as an Occupational Therapy Assistant from the Maryland State Board of Occupational Therapy Practice.  Do you currently possess a license as an Occupational Therapy Assistant in Maryland?  If yes, please attach a copy to your application.

Yes No
2.

If you indicated YES to the above question, please include your license number and expiration date in the text box below.


Powered by JobAps