**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 one year expert experience in breastfeeding management and promotion?
Yes
No
2
If you responded YES, please describe your one year of expert experience in breastfeeding management and promotion.
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.
3
Do you possess one year of experience counseling breastfeeding women, preferably for breastfeeding complications?
Yes
No
4
If you responded YES to the above question, please describe your experience counseling breastfeeding women preferably for breastfeeding complications.
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
Are you qualified in one the following? Please check appropriate credentials. You may also upload certifications and transcript(s) to the application.
Credentialed as an International Board Certified Lactation Consultant (IBCLC).
Credentialed as a Registered Nurse (RN), Registered Dietitian (RD), or nutritionist (Master’s or Bachelor’s degree in Nutritional Sciences, Community Nutrition, Clinical Nutrition, Dietetics, Public Health Nutrition, or Home Economics), and have completed the Maryland State WIC DBE training. In addition, it is preferable to have a current lactation management certificate (i.e. CLE, CLC, CBS).
Completed a minimum of eight college courses from an accredited institution in health sciences to include at least some of the following areas: Human Anatomy, Human Physiology, Biology, Infant Growth and Development, Nutrition, Counseling Skills, Sociology, and Clinical Research. In addition it is preferable to have a current lactation management certificate (i.e. CLE, CLC, CBS) and have completed the Maryland State WIC DBE training.
6
Describe your program management experience.
With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position. This experience must also be reflected in the "Work Experience" section of your application. If you do not have this experience, put N/A in the box below.
Department of Budget and Management