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#20-004288-0005
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.

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.

If yes, please provide your license number, expiration date and state (if it is a compact state). Not providing this information may result in disqualification.  If you do not possess this license please write N/A.

3.

Describe your experience as a Registered Nurse in a supervisory, administrative or teaching capacity.

Please include name of employer, job title, dates of employment, and hours worked per week for each relevant position. 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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