***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 Board of Nursing? If so, please provide license information for verification. If not, indicate N/A.
2.
Do you possess three years of experience as a registered nurse including one year in a supervisory, administrative, or teaching capacity and two years in the option for which application is made? If so, please explain. Be sure to include the dates of employment, name of the employer, job duties and hours worked per week. If you do not possess this experience, please indicate N/A.
3.
Do you have experience providing medical services to a pediatric or adolescent population? If so, please explain. Be sure to include the dates of employment, name of the employer, job duties and hours worked per week. If you do not possess this experience, please indicate N/A.
Department of Budget and Management