Official SealDepartment of Budget and Management

Supplemental Questionnaire

Last Name
First Name


***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.***


Please indicate your American Sign Language skill level:

a. Polite (able to greet and exchange pleasantries; indicate or understand an emergency)
b. Literate (understands a conversation and can respond)
c. Fluent (is your native language or can converse in the language as if it was your native language.)
d. Do not speak sign language.

Do you possess a Maryland State Department of Education (MSDE) Administrator I & II or Principal Certification?

Yes No

Do you have experience in administration/supervision? If yes, please explain below. If no, please write “N/A.”


Are you familiar with special education laws and services?

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