Official SealDepartment of Budget and Management


#21-005477-0005
Supplemental Questionnaire

Last Name
First Name

 

Below you will find supplemental questions relating to the education and experience that is required and/or preferred for this position.  The intent of the supplemental questionnaire is to provide applicants with the opportunity to elaborate on the specific education/experience possessed, as it pertains to duties of the position.  

Please provide a full answer to every question and refrain from indicating "See Resume".  Answers received on the supplemental questionnaire must correspond to the information provided on the resume, including name of employer, dates of employment, and hours worked per week. Any employment that is listed on the supplemental questionnaire but not included in the resume will not be credited. 

Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.


1

Do you have a Bachelor's degree from an accredited college or university?

Yes No
2

If you answered Yes to question 1, please list your degree and the name of the college/university in the box below.  If you do not have a Bachelor's degree, please enter N/A.

3

Describe your professional health services experience.

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

Describe your experience in population health or quality improvement.

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.

5

Describe your experience at the supervisory or managerial level.

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. 

6

Describe your experience monitoring contracts.

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 your experience managing stakeholder interactions.

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.

8

Describe your experience with quantitative or qualitative data analysis.

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.

9

Describe your experience and/or familiarity with Code of Maryland Regulations (COMAR) pertaining to nursing practice in the State of Maryland and nursing supervision and delegation as it pertains to Residential Service Agencies (RSA)

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.


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