**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.
If you answered Yes to the previous question, please provide the license number and expiration date in the box below. A copy of your current license or license verification should also accompany your application.
3.
Do you possess a Master's degree in Nursing or a related field from an accredited college or university?
Yes
No
4.
What field of study is your master's degree in?
5.
Describe your experience as a Registered Nurse, including two years as an instructor in a psychiatric 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.
6.
Describe your experience assessing, planning, developing, implementing and evaluating training materials to meet the orientation and ongoing competency needs of the Hospital Staff.
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.
7.
Describe your experience and/or knowledge of related accreditation needed for a psychiatric hospital and certification requirements.
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.
8.
Describe your experience providing operational guidance and leadership to the department's nursing instructors.
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.
Department of Budget and Management