Please note that your answer on the supplemental questionnaire must correspond to the information that is provided on your resume to receive credit.
1
Are you licensed as a Psychologist from the Maryland Board of Examiners of Psychologists? (If you respond Yes, please upload a copy with your application)
Yes
No
2
If yes, please provide your license type, license number and expiration date below.
3
Do you possess a Doctorate in Psychology?
Yes
No
4
Describe your experience rendering psychological services, including three years post-doctorate clinical experience and two years of supervisory experience.