Official SealDepartment of Budget and Management


#22-001440-0001
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.***


1
Do you possess a current license as Dietitian/Nutritionist from the Maryland Board of Dietetic Practice?  
Yes No
2

If you answered Yes to the above question, please provide your license number and expiration date in the space below.  If you do not possess a certificate of eligibility, please indicate N/A in the text box below.

3

Describe in 1-3 paragraphs, your experience with WIC (Woman, Infants, and Children).

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.

4

Describe your experience with diabetes or metabolic disorders.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

5

Describe your experience promoting optimal health outcomes in high-risk populations.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.


Powered by JobAps