Official SealDepartment of Budget and Management


#19-004288-0002
Supplemental Questionnaire

Last Name
First Name

 

**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
Are you currently licensed as a Registered Nurse by the Maryland Board of Nursing or a compact state?
Yes No
2

If you answered yes to question #1, please provide your license number and expiration date and state (if a compact state) below.
3

This position will work during the PM/Night Shift (11:00 pm to 7:30 am). Are you willing to work this shift?
Yes No

Powered by JobAps