Official SealDepartment of Budget and Management

Supplemental Questionnaire

Last Name
First Name

Bilingual applicants are encouraged to apply.  Are you able to speak, read and write in both Spanish and English? 

Yes No

This position requires you to report to the Hunt Valley, Maryland office for training at least several days out of the week for the first six months to one year.  Will you be willing to accept this requirement?

Yes No

Please be advised, your assigned office/duty station will be one of the following: Hunt Valley, Easton, Hagerstown, or Largo. Do you have a problem being required to report on a daily basis to either office?

Yes No

If so, Please specify which office assignment you are interested in: Hunt Valley, Easton, Hagerstown, or Largo.


Do you have a car available at all times and a valid driver's license?

Yes No

This job may require overnight stay or extended travel for up to 2 weeks for the purpose of training, conducting inspections, etc. Do you have any conflicts that would prohibit you from traveling?

Yes No

Please explain in the box below why you want to be a MOSH Compliance Officer.


Please explain in the box below your experience in occupational safety and health.  If you do not have this experience, enter N/A.

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