Please note that your answer on the supplemental questionnaire must correspond to the information that is provided on your resume to receive credit.
1
Are you licensed as a Psychologist from the Maryland Board of Examiners of Psychologists? (If you respond Yes, please upload a copy with your application)
Yes
No
2
If yes, please provide your license type, license number and expiration date below.
3
Do you possess a Doctorate in Psychology?
Yes
No
4
Describe your experience rendering psychological services, including three years post-doctorate clinical experience and two years of supervisory experience.
5
Describe your professional experience working with adults with intellectual disabilities and/or co-occurring diagnoses.
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.
6
Please describe your supervisory experience. Include employer name(s), job title(s), dates of employment, and titles of those you supervised. If you do not possess this experience, enter N/A.
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