***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.
Do you posses a current license as a Registered Nurse from the Maryland State Board of Nursing, or a license recognized by the Multi-State Compact agreement? Please provide your license number and expiration date in the box below.
2.
Do you have 5 years of experience as a Registered Nurse including two years of experience in an administrative, supervisory, consultative or teaching capacity. If yes, please explain your experience. If you do not possess this experience, please indicate N/A
3.
Please explain your knowledge and/or experience with Maryland's lead laws and regulations. Please include the name of employer(s) and dates of employment when you performed this duty. If you do not have this experience, please write N/A.
4.
Please explain your Data Management experience. Please include the name of employer(s) and dates of employment when you performed this duty. If you do not have this experience, please write N/A.
5.
Please explain your Case Management experience. Please include the name of employer(s) and dates of employment when you performed this duty. If you do not have this experience, please write N/A.
Department of Budget and Management