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#19-002043-0031
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

This position is limited to the MDH, Anne Arundel County Health Department, Medical Assistance Transportation Program.

Are you a current employee of the MDH, Anne Arundel County Health Department, Medical Assistance Transportation Program?
Yes No
2

Do you possess 60 credit hours from an accredited college or university?  Credits must be noted on application or a transcript must be attached for credit.
Yes No
3

Do you have a bachelor's degree from an accredited college or university?
Yes No
4

Describe your administrative or professional experience.

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

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