Official SealDepartment of Budget and Management


#18-003695-0002
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess a current license from the Maryland State Board of Examiners for Speech-Language Pathologists or the Maryland State Board of Examiners for Audiologists?  If you respond yes to this question, please upload a copy of your license to your application.

Yes No
2.

Do you possess a Certificate of Clinical Competence in Speech-Language Pathology or Audiology?  If you respond yes to this question, please upload a copy of your certificate to your application.

Yes No

Powered by JobAps