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#20-002004-0002
Supplemental Questionnaire

Last Name
First Name
1

Are you currently licensed as an LCSW-C in Maryland? If not, please list when you anticipate being eligible for LCSW-C licensure and what requirements are still outstanding. Or indicate when you submitted your application to Maryland Board of Social Work Examiners for out of state approval of your LCSW-C

2

Please rank and list your soft skills from strongest to weakest.

3

 Briefly describe your interest in working on behalf of parents whose children have been removed by DSS.


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