Official SealDepartment of Budget and Management


#19-005482-0027
Supplemental Questionnaire

Last Name
First Name

 

Below you will find supplemental questions relating to the education and experience that is required and/or preferred for this position.  The intent of the supplemental questionnaire is to provide applicants with the opportunity to elaborate on the specific education/experience possessed, as it pertains to duties of the position.  

Please provide a full answer to every question and refrain from indicating "See Resume".  Answers received on the supplemental questionnaire must correspond to the information provided on the resume, including name of employer, dates of employment, and hours worked per week. Any employment that is listed on the supplemental questionnaire but not included in the resume will not be credited. 

Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.


1

Do you possess a Master's degree from an accredited college or university in nursing, social work, public health, health care administration or a related field of study?

Yes No
2

What field of study is your master's degree in?

3

Do you possess current licensure from a Maryland licensure Board?

Yes No
4

Please list the type of license that you hold, the license number and expiration date below.  A copy of you license should be uploaded with your application.

If you do not possess licensure from a Maryland Board, please enter N/A in the box.

5

Describe your experience in program management that includes direct supervision of staff.

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.

6

Describe your experience managing clinical and administrative operations in an organization.

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.

7

Describe your experience in data driven decision making in health assessments and surveillance.

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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