Official SealDepartment of Budget and Management


#17-000311-0007
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.***


1

Are you a current employee of the Garrett County Health Department?

Yes No
2

Do you possess a current license as a Graduate Professional Counselor from the Maryland Board of Professional Counselors and Therapists?

Yes No
3

If you answered Yes to the above question, please provide your license number and expiration date in the space below.  If you do not possess a certificate of eligibility, please indicate N/A in the text box below.

4

Describe your experience with substance abuse and co-occurring counseling.

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. 

5

Describe your experience providing individual and group counseling to clinets enrolled in the Behvaioral Health Substance Abuse Services.

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. 


Powered by JobAps