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Davis, Mary Thorton

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D aN < is & 2nd Form 1045 Rev. Nov. 1942 CIPA AMERICAN RED CROSS ave NURSING SERVICE Holyake M If you have changed your last name since contacting us, please check here Name in full Davis mary Thounton Tel. No 4829 (office6069) (last) (first) (middle) Date of birth 16.90 If married, give maiden name Marital status single Husband's name (single, married, widowed, divorced) Permanent address (street) (city) (county) (state) for Probable the next address year 78 (street) High 8V. Greenfiered (city) (county) Franklin mass. (state) 1 mrs. Give name Francis and address dehancy Cunnincham or - sister. 6480. mountain Road, Pittofied of nearest relative friend in United States: s (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 grasnfield Visiting nurk anociation Industrial Private duty Other (write in) 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) 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 Private schools. beyond H.S.land Yes No Before entering training, how many years did you attend COLLEGE? 0 Did you have a five-year course granting bachelor's degree? no 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 field was above study? Below 3. Training and experience in the public health field: Postgraduate 4 months or more months Experience 6 months Teachers Collige Certificate Degree Columbials. 6 Have you ever held a position as an air hostess? Yes No How long? Have you ever had any other air experience? Yes No Specify 0 (OVER) RJ 8

Page data

Page
23
Source index
0
Type
photo
Media ID
d269c2ef2ef3bf4d
Size
unknown

Document data

ID
2661320
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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    "coverageEndDate": {
        "day": 17,
        "logicalDate": "1945-08-17",
        "month": 8,
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Page context 
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    "ocrText": "D\naN\n<\nis\n&\n2nd\nForm 1045\nRev. Nov. 1942\nCIPA\nAMERICAN RED CROSS\nave\nNURSING SERVICE\nHolyake\nM\nIf you have changed your last name since\ncontacting us, please check here\nName in full Davis mary Thounton\nTel. No 4829 (office6069)\n(last)\n(first)\n(middle)\nDate of birth 16.90\nIf married, give maiden name\nMarital status\nsingle\nHusband's name\n(single, married, widowed, divorced)\nPermanent address\n(street)\n(city)\n(county)\n(state)\nfor\nProbable the next address year 78 (street) High 8V. Greenfiered (city) (county) Franklin mass. (state)\n1\nmrs. Give name Francis and address dehancy Cunnincham or - sister. 6480. mountain Road, Pittofied\nof nearest relative friend in United States:\ns\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\ngrasnfield Visiting nurk anociation\nIndustrial\nPrivate duty\nOther (write in)\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral staff\nOther (specify)\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\nPrivate schools. beyond H.S.land\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE? 0\nDid you have a five-year course granting bachelor's degree? no\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 field was above study? Below\n3. Training and experience in the public health field: Postgraduate 4 months or more\nmonths\nExperience 6 months\nTeachers Collige\nCertificate\nDegree\nColumbials.\n6\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n0\n(OVER)\nRJ\n8"
}