Official SealDepartment of Budget and Management


#19-004216-0104
Supplemental Questionnaire

Last Name
First Name
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 OR the date you will be sitting for the exam. Not providing this information may result in disqualification.

3.

This is a part-time "relief" position and the successful candidate must be available to work on-call. Work will be available on an as-needed basis. There are no guaranteed number of work hours and no work hours when school is not in session (i.e., summer break, holidays and/or when schools are closed due to bad weather).

Are you willing to work on-call, on an as needed basis?

Yes No

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