Official SealDepartment of Budget and Management


#19-005213-0005
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

Please indicate your American Sign Language skill level:

a. Polite (able to greet and exchange pleasantries; indicate or understand an emergency)
b. Literate (understands a conversation and can respond)
c. Fluent (is your native language or can converse in the language as if it was your native language.)
d. Do not speak sign language.
2

Do you have experience working with young children in a school or hospital setting?  If yes, please explain.  If no, write “N/A.”

3

Do you currently possess a valid Registered Nurse license from the Maryland State Board of Nursing?

Yes No

Powered by JobAps