Department of Budget and Management

**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.**

Describe your experience assisting a Dentist in the performance of dental care.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

Are you currently listed as a dental assistant qualified to place and expose x-rays by the Maryland Board of Dental Examiners?  A copy of your certification must accompany your application.

If you responded yes, please describe your experience taking and exposing dental x-rays.

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.

Describe your experience working in a public health setting.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below. 

Describe your experience working with mental health clientele.

Please include name of employer, job title, dates of employment, and hours worked per week.  This information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.