**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 have a Bachelor's degree in Nursing from an accredited college or university?
Yes
No
4
Do you possess a Master’s degree in Nursing or a health-related field from an accredited college or university?
Yes
No
5
Describe your supervisory, teaching or administrative experience in nursing, including dates and hours worked. If none, enter "N/A".
6
Describe your experience coordinating care for a nursing unit or department.
This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.
7
Describe your experience developing, implementing and monitoring quality performance and improvement initiatives.
This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.
8
Describe your experience developing and implementing nursing policy.
This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.
Department of Budget and Management