**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.
Please provide your license number and expiration date in the box below.
3.
Bilingual applicants are encouraged to apply.
Are you able to speak, read and write in both English and another language?
Yes
No
4.
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.
5.
Describe in 1-3 paragraph(s), your experience with Electronic Health Records (EMR)/Database.
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.
6.
Describe in 1-3 paragraph(s), your experience doing in-home and telehealth patient evaluations.
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.
Describe in 1-3 paragraph(s), your experience working independently with minimum supervision.
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.
Department of Budget and Management