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.**

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?

Describe in 1-3 paragraph(s), your experience with case management (e.g. ability to follow up on appointments and referrals).

If you do not possess experience in this area, enter N/A. Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

Describe your supervisory experience.  Please describe in detail your experience, including the name of your employers, dates of employment and hours worked per week in the box below. If you do not have this type of experience, please write N/A.

This position may be required to work and/or travel to all sites of the Howard County Health Department, as well as to areas of Howard County.  Are you willing to travel?

Describe in 1-3 paragraph(s), your proficiency in navigating the internet/web browser. Please also rate your proficiency on a scale of 1-5, with 5 being the highest and 1 being the lowest.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

Describe your experience and/or working knowledge of State Long Term Support Services (LTSS).

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

Describe your experience in an office environment using Microsoft Office products.

Please include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  If you do not have this experience, put N/a in the box below.