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Page 48 of 96
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OCR
D
a
a
6. Check all degrees obtained subsequent to entering training:
M
Bachelor's Degree
Master's Degree
Certificate in Public Health Nursing
7. In which major field was your academic study?
Institutional
Public Health
Other (specify)
Non-nursing (specify) Sociology & Psychology
Courses in principles of teaching
None
Courses in practice teaching (type) None
R
State teacher's certificate?
No
Where?
Foreign languages spoken None
&
IV.
EXPERIENCE
Hospital or Organization
City and State
Nature of Work Dates Person in Charge
Blower Hospital
Toledo..Qhio.
Supervison Sept. I I.920. to. Jan I, I.9.2.
Miss Hazel Runyon
Mansfield General tospital Mansfield Ohio. General & Surgery I92I
Ashland County General Health District
+
Ashland Ohio Public Health Jan.I-I922 to present tim
Dr.G.B.Fuller.
For teaching experience indicate: elementary, secondary, normal, college, nursing, or other.
Have you taught Red Cross Home Nursing (formerly Home Hygiene and Care of the Sick)?
Chapter
City and State
Type Groups
Dates
Ashland-County
Ashland, Ohio
Adult & High School
0
I942
T
e
Finished Red Cross First Aid Course June I942
s
V.
EMPLOYMENT BASIS
1. Type of work preferred: Rural
Urban
Will you accept either? Yes
2. What State or localities do you prefer?
3. When will you be available? Any time
4. Can you drive a car?
Yes
Do you own a car?
Yes
5. What dependents or family responsibilities do you have? None.
6. Name of nearest relative to be notified in case of accident (relationship and address)
J.R. .Daum.
Hushand. Crestline Ohio, R. Ro#I
7. Give name of placement service, if registered with one
8. May we approach your present employer for references? Yes.
9. Do you have good health? Yes
10. When did you have your last physical examination? Sept. 1941
Remarks:
;raph
ithin
J
Ruth Waum K.H.
(Signature of applicant)
Date Dcto2, 1942
Kith Daum
Oct - F-1942
Best Available Image
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- Type
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Document data
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- Core
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"ocrText": "D\na\na\n6. Check all degrees obtained subsequent to entering training:\nM\nBachelor's Degree\nMaster's Degree\nCertificate in Public Health Nursing\n7. In which major field was your academic study?\nInstitutional\nPublic Health\nOther (specify)\nNon-nursing (specify) Sociology & Psychology\nCourses in principles of teaching\nNone\nCourses in practice teaching (type) None\nR\nState teacher's certificate?\nNo\nWhere?\nForeign languages spoken None\n&\nIV.\nEXPERIENCE\nHospital or Organization\nCity and State\nNature of Work Dates Person in Charge\nBlower Hospital\nToledo..Qhio.\nSupervison Sept. I I.920. to. Jan I, I.9.2.\nMiss Hazel Runyon\nMansfield General tospital Mansfield Ohio. General & Surgery I92I\nAshland County General Health District\n+\nAshland Ohio Public Health Jan.I-I922 to present tim\nDr.G.B.Fuller.\nFor teaching experience indicate: elementary, secondary, normal, college, nursing, or other.\nHave you taught Red Cross Home Nursing (formerly Home Hygiene and Care of the Sick)?\nChapter\nCity and State\nType Groups\nDates\nAshland-County\nAshland, Ohio\nAdult & High School\n0\nI942\nT\ne\nFinished Red Cross First Aid Course June I942\ns\nV.\nEMPLOYMENT BASIS\n1. Type of work preferred: Rural\nUrban\nWill you accept either? Yes\n2. What State or localities do you prefer?\n3. When will you be available? Any time\n4. Can you drive a car?\nYes\nDo you own a car?\nYes\n5. What dependents or family responsibilities do you have? None.\n6. Name of nearest relative to be notified in case of accident (relationship and address)\nJ.R. .Daum.\nHushand. Crestline Ohio, R. Ro#I\n7. Give name of placement service, if registered with one\n8. May we approach your present employer for references? Yes.\n9. Do you have good health? Yes\n10. When did you have your last physical examination? Sept. 1941\nRemarks:\n;raph\nithin\nJ\nRuth Waum K.H.\n(Signature of applicant)\nDate Dcto2, 1942\nKith Daum\nOct - F-1942\nBest Available Image"
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