**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 possess a current license as Dietitian/Nutritionist from the Maryland Board of Dietetic Practice?
Yes
No
2.
If you answered "yes", please provide your license number and expiration date below. You may also submit a copy of your license or license verification with your application.
3.
Please explain your supervisory experience. Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below.
4.
Describe in 1-3 paragraphs, your experience in WIC or Maternal/Child Health.
Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below.
5.
Describe in 1-3 paragraphs, your Nutrition background and experience.
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.
Describe in 1-3 paragraphs, your experience with breastfeeding.
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.
7.
Bilingual applicants are encouraged to apply.
Are you able to speak, read and write in both English and another language?
Yes
No
8.
If yes, please note the languages of which you are bilingual. Please also indicate if you are able to read, write and speak fluently in the languages.
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