**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.
Do you possess a bachelor's degree in nursing or a related field?
Yes
No
4.
Do you possess a master's degree in nursing or a related field?
Yes
No
5.
Describe your experience as a Registered Nurse in a psychiatric setting, including dates and hours worked.
6.
Are you available, and willing to work from 7:00 a.m. - 3:00 p.m.?
Yes
No
7.
Are you available, and willing to work from 3:00 p.m. - 11:00 p.m.?