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III. EXPERIENCE 1. General experience (If necessary, use additional sheet for listing) Name & Address of Hospital or organization City and State Nature of Work Dates Person in Charge Baptist Hospital Memphis Tenn Anesthesia 1929-33 Mr. Sheets Water Valley Hosp. Water Valley, Miss. " 1933-34 Dr. G. A. Brown Mo. Pacific Hosp. St. Louis, Mo. " Relief Dr. O.B. Zeinert Sweetwater Hosp/ Sweetwater, Tenn. " belief Dr. R. Price Dr. G. B. Winter St. Louis, Mo. 1935-37 Dr. G. B. Winter Hurley Hospital Flint, Mich. " 1937-39 R. M. Huston Dr. Ralph B. Rode St. Louis, Mo. 19 1939-42 Dr. Ralph B. Rode *TDr. G. B. WInter and Dr. R. B. Rode) For teaching experience indicate: Elementary, Secondary, Normal, College, Nursing School or other. Chapter City and State Type Group Dates Red Cross Home Nursing None (formerly Home Hygiene and Care of the Sick) IV. PROFESSIONAL STATUS Yes Illinois Registered? Where? To what professional organizations do you belong? A.N.A. , state and local, St. John's Alumnae Ass'n. A.A.N.A., Red Cross First Reserve If not an enrolled Red Cross nurse, has your application for enrollment been submitted to your Local Committee on Red Cross Nursing Service? (Not Chapter Committee) When and to whom? V. EMPLOYMENT BASIS 1. Type of work preferred: Rural Not applicable Urban 2. Will you accept either? 3. What state or localities do you prefer? 4. When will you be available? Immediately Yes No 5. Can you drive a car? Do you own a car? 6. What dependents or family responsibilities do you have? None 7. Are your credentials filed with a placement service? No Which? 8. Will you accept a temporary appointment? For six months? Yes For one year? Yes 9. Salary expected 10. May we approach your present employer for references? Yes 11. Do you have good health? Yes Jan. 1942 12. Have you had a recent physical examination? Remarks: Please attach a photograph of yourself taken within the past two years. Date May 21 - 42 Signature of Applicant Virginian In Day 6RM

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Page context
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    "ocrText": "III. EXPERIENCE\n1. General experience (If necessary, use additional sheet for listing) Name & Address of\nHospital or organization City and State Nature of Work Dates Person in Charge\nBaptist Hospital Memphis Tenn Anesthesia 1929-33\nMr. Sheets\nWater Valley Hosp. Water Valley, Miss.\n\"\n1933-34 Dr. G. A. Brown\nMo. Pacific Hosp. St. Louis, Mo.\n\"\nRelief Dr. O.B. Zeinert\nSweetwater Hosp/\nSweetwater, Tenn. \"\nbelief Dr. R. Price\nDr. G. B. Winter St. Louis, Mo.\n1935-37 Dr. G. B. Winter\nHurley Hospital Flint, Mich.\n\"\n1937-39 R. M. Huston\nDr. Ralph B. Rode St. Louis, Mo.\n19\n1939-42 Dr. Ralph B. Rode\n*TDr. G. B. WInter and Dr. R. B. Rode)\nFor teaching experience indicate: Elementary, Secondary, Normal, College, Nursing\nSchool or other.\nChapter\nCity and State\nType Group\nDates\nRed Cross Home Nursing\nNone\n(formerly Home Hygiene\nand Care of the Sick)\nIV. PROFESSIONAL STATUS\nYes\nIllinois\nRegistered?\nWhere?\nTo what professional organizations do you belong? A.N.A. , state and local, St.\nJohn's Alumnae Ass'n. A.A.N.A., Red Cross First Reserve\nIf not an enrolled Red Cross nurse, has your application for enrollment been submitted to\nyour Local Committee on Red Cross Nursing Service? (Not Chapter Committee)\nWhen and to whom?\nV. EMPLOYMENT BASIS\n1. Type of work preferred: Rural\nNot applicable\nUrban\n2. Will you accept either?\n3. What state or localities do you prefer?\n4. When will you be available?\nImmediately\nYes\nNo\n5. Can you drive a car?\nDo you own a car?\n6. What dependents or family responsibilities do you have?\nNone\n7. Are your credentials filed with a placement service?\nNo\nWhich?\n8. Will you accept a temporary appointment? For six months? Yes For one year? Yes\n9. Salary expected\n10. May we approach your present employer for references?\nYes\n11. Do you have good health?\nYes\nJan. 1942\n12. Have you had a recent physical examination?\nRemarks:\nPlease attach a photograph of yourself taken within the past two years.\nDate\nMay\n21\n-\n42\nSignature of Applicant\nVirginian\nIn\nDay\n6RM"
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