***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 a Registered Nurse from the Maryland State Board of Nursing, or a license recognized by the Multi-State Compact agreement?
Yes
No
2
If you responded Yes to question 1, please provide your license number and full expiration date in the box below. If your license is from a compact state, please provide a copy of your license or license verification. Enter N/A if this question does not apply to you.
3
Describe your experience performing hemodialysis in a chronic dialysis unit.
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.
4
Describe your experience providing nursing care for peritoneal dialysis (PD) patients.
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.
Department of Budget and Management