Official SealDepartment of Budget and Management


#19-002817-0007
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 recruitment has vacancies located throughout Maryland in two Regional Offices within the Developmental Disabilities Administration. Please select the region in which you are willing to work. 

** When applying, please select specific counties you are interested in on your application under Employment Preferences **

Eastern Shore Regional Office, Salisbury MD (Wicomico County)
Western Maryland Regional Office, Hagerstown MD (Washington County)
2

Do you possess a Bachelor's degree in Nursing, Social Work, Psychology, Education, Counseling or a related field?

Yes No
3

If you responded YES to the above question, please specify the major/field of study of the degree you possess in the text box below.

4

Describe your professional work experience related to the support services and programs for developmentally disabled clients.

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.

5

Describe your knowledge of and/or experience with case management. This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

6

Do you possess a valid Maryland driver's license?

Yes No

Powered by JobAps