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Commins, Mary Petronilla

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Form 1045 JAN 21943 Rev. Nov. 1942 vousa AMERICAN RED CROSS in NURSING SERVICE If you have changed your last name since Name in full Commins (last) mary Petronilla contacting us, please check here Tel. No (first) (middle) If married, give maiden name Date of birth Dec.7,1905 M Marital status. single Husband's name Permanent address aRe 1709 W as high true St. hours mo (single, married, widowed, divorced) ary (street) (city) (county) (state) Probable address for the next year aRC 1709 Washington are St. Lonis mo. (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: w. D. Commins.PL.D. pro the 3419 S. Dakota, Washington ,D.C. (name) (relationship) (address) Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public health Industrial Private duty Other (write in) nersing Consultant are - midrestern Area St, Louis P Government Service: Army, Regular Navy, Regular Veterans Administration Reserve Reserve Children's Bureau U.S.P.H. Service U.S. Indian Service MAJOR RESPONSIBILITIES Administration Teaching Private duty of present employment Supervision General staff Other (specify) nirsing consultant If not employed, what type of nursing would you prefer to render? How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No Before entering training, how many years did you attend COLLEGE? no Did you have a five-year course granting bachelor's degree? AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have- Postgraduate course in a hospital Experience in hospital 1. A postgraduate course or experience in any of the following services? (at least 3 months) (at least 6 months) Communicable disease nursing (include tuberculosis) Psychiatric nursing Operating room Anaesthesia 2. Have you had any courses in a college or university? Less than One Two Three Four Bachelor's Master's Ph.D. M. D. one academic year year years years years degree degree degree degree In what major was field above study? Public Health nurging 3. Training and experience in the public health field: Postgraduate 4 months or more Certificate Degree Experience 6 months -5Tyrs + Have you ever held a position as an air hostess? Yes No How long? Have you ever had any other air experience? Yes No the I Specify (OVER)

Page data

Page
17
Source index
0
Type
photo
Media ID
1a856ba33f684910
Size
unknown

Document data

ID
2661265
Core
doc
Type
document
DTO data 
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Context sent to Scholar

Document identity 
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Document source metadata 
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Document source extras 
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    "coverageEndDate": {
        "day": 17,
        "logicalDate": "1945-10-17",
        "month": 10,
        "year": 1945
    },
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        "month": 2,
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Page context 
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    "ocrText": "Form 1045\nJAN 21943\nRev. Nov. 1942\nvousa\nAMERICAN RED CROSS\nin\nNURSING SERVICE\nIf you have changed your last name since\nName in full\nCommins (last) mary Petronilla\ncontacting us, please check here\nTel. No\n(first)\n(middle)\nIf married, give maiden name\nDate of birth Dec.7,1905\nM\nMarital status.\nsingle\nHusband's name\nPermanent\naddress aRe 1709 W as high true St. hours mo\n(single, married, widowed, divorced)\nary\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\naRC 1709 Washington are St. Lonis mo.\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nw. D. Commins.PL.D. pro the 3419 S. Dakota, Washington ,D.C.\n(name)\n(relationship)\n(address)\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nnersing Consultant are - midrestern Area St, Louis\nP\nGovernment Service:\nArmy, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES Administration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral staff\nOther (specify) nirsing consultant\nIf not employed, what type of nursing would you prefer to render?\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE? no\nDid you have a five-year course granting bachelor's degree?\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\none academic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major was\nfield above study? Public Health nurging\n3. Training and experience in the public health field: Postgraduate 4 months or more\nCertificate\nDegree\nExperience 6 months\n-5Tyrs\n+\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nthe\nI\nSpecify\n(OVER)"
}