Official SealDepartment of Budget and Management


#19-004284-0006
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.***


1.

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?

Yes No
 

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.


Powered by JobAps