Department of Budget and Management

**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.**

Do you possess a current license as a Dietitian/Nutritionist from the Maryland State Board of Dietetic Practice?

If you answered "yes", please provide your license number and expiration date below.  You may also submit a copy of your license or license verification with your application.

Describe your experience providing professional nutrition or dietetic services.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position. If you do not have this type of experience, put N/A in the box below.

Describe your supervisory experience, specifically with students and/or paraprofessional nutrition personnel.

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.

Describe your experience using computer software applications, such as Microsoft Word, Excel, and Google Calendar.

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 experience planning, organizing, and directing a Public Health Nutrition Program.

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.

Describe your experience presenting nutrition education information to various groups of people, including co-workers, supervisors and the general public.

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.

Describe your knowledge of and/or experience with the techniques of nutrition education and counseling.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.