Official SealDepartment of Budget and Management


#20-004002-0011
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 have a current Certified Nursing Assistant license in Maryland?

Yes No
2.

Please provide your license number and expiration date in the box below.

3.

Describe your work experience assisting in the care, treatment, habilitation or rehabilitation of mentally or physically ill patients, aged or developmentally disabled in treatment facilities or community based programs.

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.

Please describe your experience using computers and any related computer software. If you do not have this experience, please indicate N/A.

5.

Describe your experience completing multiple tasks in a high-volume office environment.

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.

The candidate selected for this position must be willing to work evenings, weekends and holidays. Are you willing to work evenings, weekends and holidays?

Yes No

Powered by JobAps