Official SealDepartment of Budget and Management


#25-000348-0002
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.**

 
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 in the box below.
3.

This position will work on various shifts as noted below. Please select the shift(s) you are willing to accept for work.
7:00 am to 3:30 pm (Day Shift)
3:00 pm to 11:30 pm (Evening Shift)
11:15 pm to 7:15 am (Night Shift)
4.

I understand that the position is required to work half of all holidays.

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