Department of Budget and Management

**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.**

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?

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.

Please describe your experience as a Registered Nurse in an administrative, supervisory, consultative or teaching capacity. 

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. 

Describe your nursing experience with developmental disabilities.

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.

Describe your knowledge of and experience with COMAR Regulations.  This experience must also be included in your application.  If you do not possess this type of experience, please indicate N/A in the text box.

Describe your knowledge of and experience with nursing standards of practice.  This experience must also be included in your application.  If you do not possess this type of experience, please indicate N/A in the text box.

Describe your knowledge of or experience with DDA waivers and its application to the community.

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.