***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit.***
1
Do you possess a current license as a Dietitian/Nutritionist from the Maryland State Board of Dietetic Practice?
Yes
No
2
If you indicated YES to the above question, please include your license number and expiration date in the text box below.
3
Describe your experience providing professional dietetic or nutrition services.
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.
Department of Budget and Management