Department of Budget and Management

***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.***

Describe your experience providing substance abuse counseling clients. Include in your response the employer name(s), the dates of employment, and hours worked, and describe the type of reports completed. If you do not possess this experience, please indicate N/A.

Describe your experience creating treatment plans. Include in your response the employer name(s), the dates of employment, and hours worked, and describe the type of reports completed. If you do not possess this experience, please indicate N/A.

Describe your experience performing intakes and assessments for admission to alcohol and drug treatment programs. Include in your response the employer name(s), the dates of employment, and hours worked, and describe the type of reports completed. If you do not possess this experience, please indicate N/A.

Describe your case management experience. Include in your response the employer name(s), the dates of employment, and hours worked, and describe the type of reports completed. If you do not possess this experience, please indicate N/A.

Describe your experience in crisis intervention. Include in your response the employer name(s), the dates of employment, and hours worked, and describe the type of reports completed. If you do not possess this experience, please indicate N/A.

Do you have a Letter of Authorization to practice as a trainee issued by the Maryland Board of Professional Counselors and Therapists? (If Yes, please upload a copy with your application.)

Do you have a CAC-AD or CSC-AD issued by the Maryland Board of Professional Counselors and Therapists? (If Yes, please upload a copy with your application.)