State of Maryland

An Equal Opportunity/Affirmative Action Employer

Department of Budget and Management

410-***-****

http://www.dbm.maryland.gov

Job Title: ASSISTANT DIRECTOR, NURSING & WAIVER

SERVICES

Job Number: 23-005***-****

Additional Materials

Foreign Education/Credential Evaluation - N/A

Personal and Contact Information

First Name AMONI

Last Name DOLEMAN

Middle Name S

Address

Number, Street

and Apt.

1206 BLOOMINGDALE RD

City BALTIMORE

County Baltimore City (Independent City)

State MD

Zip 21216

Help

Job Info

The following materials are required to support the Employment Application. Each indicates your selected submission method.

Email Address ad39q2@r.postjobfree.com

Primary Phone 443-***-****

OK to leave msg? Yes No

Work Phone OK to leave msg? Yes No

Alternate Phone OK to leave msg? Yes No

Employment Preferences

You are

required to

select one of

the following

I have never been employed by the State of Maryland I am a current employee of the State of Maryland

I am a former employee of the State of Maryland

In which

locations will

you accept

employment?

Allegany

Anne Arundel

Baltimore City

Baltimore County

Calvert

Caroline

Carroll

Cecil

Charles

Dorchester

Frederick

Garrett

Harford

Howard

Kent

Montgomery

Prince George's

Queen Anne's

Somerset

St. Mary's

Talbot

Washington County

Wicomico

Worcester

Available for Full-Time

Part-Time

Will this be

Secondary

State

Employment?

Yes No

Veteran's Information

Have you

served on

active duty

in the

military?

Yes No

Do you seek

veteran's

preference?

Yes No

If you

answered

Yes to

seeking

veteran's

preference,

select ONE of

the following

that best

describes

your

situation.

I am an honorably discharged veteran

I am a service-disabled veteran

I am a former prisoner of war (POW)

I am a Vietnam veteran

I am a service-disabled Vietnam veteran

I am the spouse of a deceased eligible veteran

I am the spouse of a service-disabled veteran

If you are a

veteran,

have you

been

honorably

discharged?

Yes No

Additional Information

How did you

hear about

the opening?

State Hiring Event October 12, 2023

Afro American Newspaper/Website

Annapolis Capitol Newspaper/Website

Baltimore Sun Newspaper/Website

Billboard

Careerbuilder.com

Cinema/Movie Ad

College Or University Campus Recruiting

Dice.com

DLLR Job Service Office

EdWeek

Email/Listserv

Facebook.com

Friend

Handshake

High School Visitation

Indeed

Instagram

Interest File

Job Fair

LatPro.com

Linkedin.com

Local Newspaper Ad

Magazine

Md. Job Network.com

Monster.com

MWEJobs- Maryland Workforce Exchange

State of Maryland Job Openings Website - OEC

Other Agency Website

Professional Organization

Radio Ad

State Employee

State HR Office (Not website)

State Police Legacy Personnel

State Police Recruiter

State Trooper Contact

Stellarworx

Television Ad

Twitter.com

Washington Post Newspaper/Website

ZipRecruiter

Other Source

Describe

1

2

3

4

5

Supplemental Questionnaire

**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 Bachelor's degree from an accredited college or university? Yes No

Describe your professional experience in health or human 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. N/A

Describe your professional experience working with the Medicaid program. In your response, please include the name of employer, job title, dates of employment, and hours worked per week for each relevant position. If you do not have this experience, put N/A in the box below.

N/A

Describe your experience at the supervisory or managerial level. Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below. N/A

Describe your experience interpreting and implementing State and federal regulations.

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. N/A

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