***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.***
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.
Please provide your license number and expiration date OR the date you will be sitting for the exam. Not providing this information may result in disqualification.
3.
Please describe your case management experience.
This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.
4.
Describe your experience working with the HIV population.
This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.
5.
Describe your public health experience.
This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.
Department of Budget and Management