Maryland State 100 Application Form – Fill Out and Use This PDF

The Maryland State 100 Application form is an essential document for individuals seeking employment within Maryland state government agencies. It requires detailed information about the applicant's work experience, education, specialized training, and other relevant qualifications to determine their eligibility for the position applied for. Filling out this form accurately is a critical step in the application process for job openings found on the state's official job announcement platforms.

To begin your journey towards securing a state position in Maryland, click the button below to fill out the Maryland State 100 Application form.

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Maryland State 100 Application Form PDF Details

The State of Maryland offers a variety of employment opportunities to qualified individuals looking to join the state workforce. At the heart of this hiring process is the Maryland State 100 Application form, a crucial document that potential state employees must complete and submit. This form, meticulously designed, gathers comprehensive information from applicants, including personal contact details, educational background, specialized training or classes relevant to the job, and extensive work experience. Additionally, it inquires about the applicant's eligibility for veterans' credit and fluency in languages other than English which could be essential for certain positions. The application process also emphasizes Maryland's commitment to equal opportunity employment by including a section for voluntary demographic information, stressing the state's dedication to diversity and inclusion. With its detailed format, the form ensures that all candidates are assessed fairly and thoroughly, based on their qualifications and suitability for the job. Moreover, it addresses legal considerations by asking about convictions in a manner that respects applicants' rights and the possibility of rehabilitation. The application form also specifies the necessity for legal work authorization under the United States Immigration Reform and Control Act of 1986, alongside other employment requirements such as drug testing and medical examination for selected positions. This comprehensive approach underscores Maryland's commitment to a transparent, equitable, and systematic hiring process.

Question	Answer
Form Name	Maryland State 100 Application Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	form md 100, maryland state application, ms 100, application md employment get

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St at e of Maryland

MAIL APPLICATION TO THE ADDRESS

INDICATED ON THE JOB ANNOUNCEMENT

For Job Announcements visit: www.dbm.maryland.gov

or call 410-767-4850

(OFFICE USE ONLY)

Class Code

APPR. _______ DISAPPR. _______ BY _____

Reason: ________________________________

_______________________________________

Pending Code:

SOCIAL SECURITY NUMBER:		PRINT OR TYPE ALL INFORMATION


	This application is part of the examination process. Please read the minimum qualifications section of the job announcement
	before completing this application. You must meet all of the qualifications to be considered.

Applying For:

Job Title:

Announcement #:

(A separate application is required for each job title unless otherwise indicated.)

Name and Contact Information:

Name:

Last

First

Address:

Street

City

County

State

Zip Code

Home Phone:

Work Phone:

E-mail:

Education and Training:

Do you have a high school diploma or GED?

Yes

If not, what is the highest grade that you completed?

School:

Address (City, State):

Dates attended:

Major course of study:

From

COLLEGE AND GRADUATE SCHOOL EDUCATION

Name/Location of School(s)

Dates Attended

Major

# of Credits

Type of Degree

Degree Earned?

Completed

(Yes or No)

SPECIALIZED TRAINING OR CLASSES RELEVANT TO THE JOB

Title of Program/Course(s)

Company/School

Dates Attended

# of Credits Earned

Diploma/Certificate

Received?

Please submit a copy of any relevant professional or trade licenses or certificates with this application.

For positions requiring a driver’s license, please attach a copy of your license or write on a separate sheet of paper

your driver’s license number, class, state of issuance and expiration date.

MS-100 REV. 3/10

STATE OF MARYLAND – AN EQUAL OPPORTUNITY

WORK EXPERIENCE:

List below, beginning with your most recent position, all of your work experience, including military service and all volunteer activities. Attach additional 8 1/2" x 11” sheets of paper if necessary. If your title and duties changed in the course of your service in any one organization, indicate such changes clearly and as separate employment. Please do not submit a resume in lieu of completing this portion of the application. Be sure that the information included in this section demonstrates that you meet the experience qualifications for the job for which you are applying.

Job Number 1: (Current or Most Recent)

Name of Employer:	Employer’s Address (Street, City, State, Zip Code):


Type of Business:	Supervisor’s Name and Phone Number:


Your Job Title:	Do you supervise other employees?				Job Titles of Those You Supervise:
	Yes	No	How many?

Dates of Employment (From: Month/Day/Year To: Month/Day/Year):	Is your position considered full-time? Yes					No

	How many hours do you work per week?

Job Duties:
Reason For Leaving:


Job Number 2:
Name of Employer:	Employer’s Address (Street, City, State, Zip Code):


Type of Business:	Supervisor’s Name and Phone Number:


Your Job Title:	Did you supervise other employees?				Job Titles of Those You Supervised:
	Yes	No	How many?

Dates of Employment (From: Month/Day/Year To: Month/Day/Year):	Was your position considered full-time?			Yes		No

	How many hours did you work per week?

Job Duties:
Reason For Leaving:


Job Number 3:
Name of Employer:	Employer’s Address (Street, City, State, Zip Code):


Type of Business:	Supervisor’s Name and Phone Number:


Your Job Title:	Did you supervise other employees?				Job Titles of Those You Supervised:
	Yes	No	How many?

Dates of Employment (From: Month/Day/Year To: Month/Day/Year):	Was your position considered full-time?			Yes		No

	How many hours did you work per week?

Job Duties:
Reason For Leaving:

ELIGIBILITY FOR VETERANS’ CREDIT

A copy (not an original) of your proof of eligibility (DD 214) for Veterans’ Credit must be in this office and completely verified before Veterans’ Credit will be approved. Proof will only need to be submitted once.

Permanent State employees do not need to submit proof of eligibility for Veterans’ Credit.

Job Number 4:

Name of Employer:	Employer’s Address (Street, City, State, Zip Code):


Type of Business:	Supervisor’s Name and Phone Number:


Your Job Title:	Did you supervise other employees?				Job Titles of Those You Supervised:
	Yes	No	How many?

Dates of Employment (From: Month/Day/Year To: Month/Day/Year):	Was your position considered full-time?			Yes		No

	How many hours did you work per week?

Job Duties:
Reason For Leaving:


Job Number 5:
Name of Employer:	Employer’s Address (Street, City, State, Zip Code):


Type of Business:	Supervisor’s Name and Phone Number:


Your Job Title:	Did you supervise other employees?				Job Titles of Those You Supervised:
	Yes	No	How many?

Dates of Employment (From: Month/Day/Year To: Month/Day/Year):	Was your position considered full-time?			Yes		No

	How many hours did you work per week?

Job Duties:
Reason For Leaving:

Are you fluent in a language other than English? (if required for the job for which you are applying) Yes If yes, please list:

“UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.”

This provision does not apply to applicants for law enforcement positions pursuant to Labor and Employment Article, Section 3-702 (b) Annotated Code of Maryland.

Have you ever been convicted of any violation of law other than a minor traffic violation? Yes	No
If yes, give the date, place of conviction, charge and disposition of each case. Note: A conviction record will not necessarily bar you
from employment. (Please write this information on a separate sheet of paper and attach it to this application.)

DATE: __________________________ SIGNATURE OF APPLICANT: _________________________________________________

In which counties will you accept employment? Please check the box on the left if you will work in all of the counties in that row, OR, circle individual counties of interest.

10	GARRETT - 11, ALLEGANY - 12, WASHINGTON -13

20	FREDERICK - 21, CARROLL - 22, MONTGOMERY - 23

30	BALTIMORE CITY - 31, BALTIMORE COUNTY - 32, HOWARD - 33

40	HARFORD - 41, CECIL - 42, KENT - 43

50	PRINCE GEORGE’S - 51, CHARLES - 52, CALVERT - 53, ST. MARY’S - 54

60	ANNE ARUNDEL - 61, QUEEN ANNE’S - 62, TALBOT - 63, CAROLINE - 64

70	DORCHESTER - 71, WICOMICO - 72, SOMERSET - 73, WORCESTER - 74

How did you find out about this recruitment? Check the correct box and add information such as the name of the publication or site.

OPSB Website

Other Website

Newspaper ad, paper name

State Personnel Office location

DLLR Job Service location

Job Fair

Other Media

Other

AVAILABLE FOR EMPLOYMENT WHICH IS:

Full-time

Part-time Temporary Contractual

After a test notice is received, applicants with disabilities who require accommodations should contact the Office of Personnel Services and Benefits at (410) 767-4921, or Toll Free: 1 (800) 705-3493. TTY/TT users call the Maryland Relay Service at (800) 735-2258 or 7-1-1 in Maryland.

Applications must be received by the Office of Personnel Services and Benefits (or the recruiting agency) by either the close of business on the closing date, or postmarked by the closing date, as specified on the job announcement for which you are applying. A receipt will be mailed if a self-addressed, stamped envelope is attached. NOTIFY THE OFFICE OF PERSONNEL SERVICES AND BENEFITS IN WRITING OF A CHANGE IN NAME, ADDRESS OR TELEPHONE NUMBER. YOU MUST BE LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES UNDER THE UNITED STATES IMMIGRATION REFORM AND CONTROL ACT OF 1986.

YOU MUST MEET ALL OF THE QUALIFICATIONS TO BE ELIGIBLE FOR APPOINTMENT. VERIFICATION WILL BE COMPLETED BY THE APPOINTING AUTHORITY. YOU MAY BE TESTED FOR ILLEGAL DRUG USE. IF SELECTED FOR A POSITION IN THE SKILLED OR PROFESSIONAL SERVICE, YOU MAY BE GIVEN A MEDICAL EXAMINATION TO DETERMINE YOUR ABILITY TO PERFORM JOB-RELATED FUNCTIONS.

I hereby affirm that this application contains no willful misrepresentation or falsifications and that this information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any misrepresentation or falsification, my application will be disapproved, my name removed from the eligible list, and that I will not be certified for employment in any position under the jurisdiction of the Department of Budget & Management. I am aware that a false statement is punishable under law by fine or imprisonment or both.

DATE: _____________________ SIGNATURE OF APPLICANT: _______________________________________________________________

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

(Remove this section of the application prior to the interview process.)

TO FURTHER ITS COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT, THE STATE OF MARYLAND REQUESTS APPLICANTS TO PROVIDE, VOLUNTARILY, THE FOLLOWING INFORMATION. THIS INFORMATION WILL BE USED FOR STATISTICAL PURPOSES ONLY BY AUTHORIZED PERSONNEL.

BIRTH DATE: _____________	MALE
Month/Day/Year

FEMALE

ARE YOU A U.S. CITIZEN OR LEGAL ALIEN? YES

RACE/ETHNIC IDENTIFICATION – PLEASE CHECK ALL THAT APPLY

Are you of Hispanic or Latino origin? Yes No

(A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

Select one or more of the following racial categories:

American Indian or Alaska Native (A person having origins in any of the original peoples of North or South America, including Central America, and who maintains tribal affiliations or community attachment.)

Asian (A person having origin in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)

Black or African American (A person having origins in any of the black racial groups of Africa.)

Native Hawaiian or other Pacific Islander (A person having origins in the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)

White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)

STATE OF MARYLAND – AN EQUAL OPPORTUNITY EMPLOYER

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Dates of Employment From, Supervisors Name and Phone Number, and Type of Business of md 100 form

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Maryland State 100 Application Form – Fill Out and Use This PDF

Maryland State 100 Application Form PDF Details

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