**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
Which shift are you willing to work:
Evening Shift (3 p.m. to 11:30 p.m)
Night Shift (11:15 p.m. to 7:15 a.m.)
2
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
3
Please provide your license number and expiration date in the box below.