Official SealDepartment of Budget and Management


#20-004216-0015
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
Are you currently licensed as a Registered Nurse by the Maryland Board of Nursing or a compact state?
Yes No
2

If you answered Yes to the above question, please provide your license number and expiration date in the space below.  If you do not possess a certificate of eligibility, please indicate N/A in the text box below.

3

Describe in 1-3 paragraphs, your experience with home visiting.

Do not copy and paste from your resume. 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.

4

Describe in 1-3 paragraphs, your experience working with elderly and/or disabled population.

Do not copy and paste from your resume. 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

Bilingual applicants are encouraged to apply. Please state below which languages you are able to fluently speak/write. If not applicable, please place N/A in the box below.

6

Please provide a full explanation/description of your computer skills in the box below.  Do you have any computer experience with software, such as Excel, Word or Outlook?  How would you rate your skill level -- Basic, Intermediate or Advanced.


Powered by JobAps