**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
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
2
Please provide your license number and expiration date in the box below.
3
Do you have a Bachelor's degree in Nursing from an accredited college or university?
Yes
No
4
Do you possess a Master’s degree in Nursing or a health-related field from an accredited college or university?
Yes
No
5
Describe your supervisory, teaching or administrative experience in nursing, including dates and hours worked. If none, enter "N/A".