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#19-004223-0003
Supplemental Questionnaire

Last Name
First Name

 

Please note that your answer on the supplemental questionnaire must correspond to the information that is provided on your resume to receive credit.


1.

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?

Yes No
2.

Please provide your license number and expiration date in the box below.

3.

Do you possess a Master’s degree in Nursing or a related field from an accredited college or university?

Yes No
4.

If you responded YES to the above question, in what field is your Master's degree?

5.
Please describe your experience as a Community Health Nurse in an administrative, supervisory, consultative or teaching capacity.  Please provide dates and hours worked per week.
6.

Do you have a Bachelor's degree in Nursing?  (If Yes, please clearly indicate this on your application.)

Yes No
7.

Do you have a minimum of 2 years of experience in nursing administration, including managing and supervising staff, overseeing schedules, implementing and monitoring quality standards? If yes, please explain.

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.

8.

Describe in 1-3 paragraph(s), your experience with performance management processes in a healthcare setting.

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.

9.

Describe in 1-3 paragraph(s), your experience with Microsoft 365 and data management.

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.

 


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