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Supplemental Questionnaire

Last Name
First Name


**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.**



This position is located in the Regional Office of the Developmental Disabilities Administration in Salisbury MD (Eastern Shore, Wicomico County). Are you willing to work at this location?

Yes No

Do you possess a Bachelor's degree in Nursing, Social Work, Psychology, Education, Counseling or a related field?

Yes No

What is the major field of study for your bachelor's degree? If you answered "No" to the previous question, please enter N/A in the box.


Describe your professional work experience related to the support services and programs for developmentally disabled clients.

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 knowledge of and/or experience with Criminal Procedure Title 3, Courts and Judicial Proceedings Title 8. This experience must also be included in your application.


This position will require the incumbent to drive State vehicles. Do you have a valid State of Maryland driver's license?

Yes No

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