**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.
Please indicate the option that you are interested in:
Full Time
Part Time
If you selected part time, how many hours a week would you be willing to work?
4.
Do you possess a current CPR certificate?
Yes
No
5.
Describe in 1-3 paragraphs, your experience providing care to pediatric patients, specifically intramuscular injections to children under the age of 12.
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 extensive experience and knowledge using Microsoft Word, Excel, PowerPoint and Outlook.
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 and familiarity with Microsoft Teams and OneDrive.
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