**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 certificate of eligibility to be licensed as a Registered Environmental Health Specialist from the Maryland Board of Environmental Health Specialists? A copy of your certificate must be attached to your application.
Yes
No
2
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.