Department of Budget and Management

**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.**

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?

Please provide your license number and expiration date in the box below.

Do you possess a license as an International Board Certified Lactation Consultant (IBCLC)?

If you answered "yes" to the previous question, please submit a copy of your IBCLC license with your application.  You may also indicate your certification number and expiration date below.

Describe your experience with the Women, Infants and Children (WIC) program.

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.

Are you bilingual?

If yes, please list the languages that you can speak fluently.