**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
Do you possess a bachelor's degree in nursing or a related field?
Yes
No
4
Do you possess a master's degree in nursing or a related field?
Yes
No
5
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.
6
Please describe your experience working as a Registered Nurse in a Psychiatric setting. Include dates and hours worked per week. If you do not possess experience in this area, put N/A in the box below.
7
Describe your leadership experience in overseeing a team of nurses as they provide services to patients and manage their records.
This experience must be included on your application. If you do not possess this type of experience, please indicate N/A in the text box.
8
Describe your experience working with psychiatric patients, scheduling, training/mentoring and consulting on patients' treatment plans.
This experience must be included on your application. If you do not possess this type of experience, please indicate N/A in the text box.
9
Describe your extensive clinical skills for the admission unit.
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.
10
Describe your experience leading and motivating staff members.
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