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    "localId": "2661276",
    "label": "Corbin, Hazel Irene",
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    "id": "2661276",
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    "contentType": "document",
    "title": "Corbin, Hazel Irene",
    "citationUrl": "https://catalog.archives.gov/id/2661276",
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        "Records of the American National Red Cross",
        "Historical Nurse Files"
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    "url": "https://catalog.archives.gov/id/2661276",
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    "coverageEndDate": {
        "day": 4,
        "logicalDate": "1945-09-04",
        "month": 9,
        "year": 1945
    },
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        "day": 5,
        "logicalDate": "1925-10-05",
        "month": 10,
        "year": 1925
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    "ocrText": "Form 1037\n9-8-24\nTHE AMERICAN NATIONAL RED CROSS NURSING SERVICE\nI\nApplication for Enrollment\n(To be filled out entirely in applicant's handwriting and each question answered fully.)\n1.\nName of applicant in full CORBIN Hozee Trene\n(Basims) 370 severith Cene new your at Benn. 1400\n2.\nAddress in full 1221 General A. hew york Cef. Phane their 8447\n3 3. Date of birth august 31, 1890 Race W Place of birth Nona Qcation\nBirthplace of father nova action Mother have Poated Citizenship of father Conadian\n4. Are you married, single or a widow? pangle Are you a citizen of the United States? yes.\n1\n5. How many years have you attended grammar school? 6 High school? 3+ Normal school? 1 year\nPrivate school?\nCollege?\nif tutored privately, name subjects covered and length of time\n5\n6.\nWhat languages other than English do you speak? French, \"slightly\"-\ne\nOccupation before entering training school Stevographic work for One year fluently.)\n(Underline those/which you speak\n7.\n8.\nFrom what hospital training school did you receive your diploma ? Bicean Hosp. many School\nGive name at time of graduation Hozes Cartain\nCity and State Brooklyn new your Date of graduation Oct 17. 19 17\n9. Character of hospital: General? yes\nSpecial?\n-\nPrivate? -\n10. Did your training include obstetrics? ys Care of men? yes Children? yes Contagious diseases? Theory only\n11.\nDaily average number of patients in hospital during training 200 + Length of course 3 years\n12. Name and address of superintendent of nurses under whom you received training\nDune V. S Kechan- Goronto - Outario\n13. If your training as a nurse was received in more than one hospital, give name, location and time spent in each\n14. Of what nursing organizations are you a member? Okly Horp. aleenar, a. N. A,\n(Y O. P.H.M., N.L.NE, N.Y.S. P.HN.A.\n15. Which, if any, is affiliated with the American Nurses' Association? Bikly Horp. blueral- -\n16. Give name and address of secretary of at least one of these organizations\nmins Deous, le N. A, 370 Revenet An. new your\n18. Type of work and length of service since graduation:\n17. Are you a registered nurse? yrs in what State? my Date of registration 1917 Number 3975.\nOct.1917 - nov 1918 field nursing matern Center n. 7.\nhorry1s - nor 1914, Cheef heres, Inclan matering Center\nherray - Ion 1922, assist, year Succes 1.4 maternity Center\nJaniq2Z- years 1923, tieed Ductor\n\"\nyour 1923 present, general Ducton\n,\n(Present position)\nJeneral Deictor maternity Center lesso\n19. Will you be willing to accept active service if the United States becomes involved in war?\n20.\nYes,\n(a) If interested in accepting service within the near future, indicate choice: R. C. P. H. Nursing, Instructor,\nHome Hygiene and Care of Sick, Army, Navy, U. S. Public Health Service, U. S. Veterans' Bureau.\n(b) Date upon which you will be available\n21. Are you willing to take the oath of allegiance? yes.\n22\nName and permanent address of near relative (give relationship)\ng Winton Carbin, Picton, have Peotin Covoda\nDate NOTE 1/2/1925 \"Nurses Signature of nurse Hozel Carlein\nout question 23 and 24 who on have reverse had side training of this or blank. experience in Public Health Nursing will, in addition to the above, fill\nTo The Committee:\nThis blank is to be sent to applicant with circular letter Form 1199, together with Forms 2, 1193 and A. R. C.\nbe 703. Application forms after approval and endorsement by Local committee, with Forms 1244, 1189, 1193 should\nforwarded to the Director of the Nursing Service in your Division Office."
}