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#20-002153-0001
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.**

 


1.
Candidates selected for positions in this class must obtain a limited license from the Maryland State Board of Examiners for Speech-Language Pathologists or the Maryland State Board of Examiners for Audiologists, 4201 Patterson Avenue, Baltimore, Maryland 21215, before permanent appointment.  Are you in possession of the limited license?
Yes No

 

If you responded YES to the above question, please upload a copy of your license to the application.



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