**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 have a current Certified Nursing Assistant license in Maryland?
Yes
No
2
If you currently possess a current Certified Nursing Assistant license, then type your CNA license number in the field below. Please note that you are required to upload a copy of your license with your application.
If you do not have a CNA license, then type "N/A" in the field below.
3
Do you possess 60 credits from an accredited college or university with at least 15 credits in health services, human services, education or the behavioral sciences? Please note, you must submit your transcript(s) with the application.
Yes
No
4
Describe your experience providing direct client services in a developmental disability or similar behavior modification setting.
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.
5
Describe your experience assisting supervisors and providing guidance and support to direct support professionals.
This experience must be identified in the Work Experience section of the application, including dates and hours worked and a description of the job duties performed. If you do not possess this type of experience, please indicate N/A in the text box.
6
Describe your experience with scheduling staff members.
This experience must be identified in the Work Experience section of the application, including dates and hours worked and a description of the job duties performed. If you do not possess this type of experience, please indicate N/A in the text box.
Department of Budget and Management