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No. 1 H AMERICAN RED CROSS NURSING SERVICE APPLICATION FOR ENROLLMENT (To be filled out entirely in applicant's handwriting) I. Name of applicant Ina m. Gashill 2. Address in full. 2.6 the Guildfards, Indianapolic Ind 26 3. Date of birth Dlec 2.- 1884 Place of birth Frankfest Indiana 4. Are you married, single, or a widow ? Sample 5. Are you a citizen of the United States? yes 6. Have you any physical defects no. 7. Education and occupation before entering Training School graduate of Trankfat High School 8. From what Training School did you graduate? Joseph Eastman. Hospital Training School for nurses 9. Character of hospital: General? Special? Private? Private IO. How many beds in hospital at time of graduation? Timenty II. Date of graduation Feb. 1906 Length of course 2 years 12. Name and address of Superintendent of Training School under whom you were trained Min Gertrudee Jennes, 6295 Lount St., Centralia .). I'll I3. Of what nursing organization are you a member? Marion Association r 14. Give name and address of Secretary Min. Lama Stegner, 25 Millikan I5. Are you a registered nurse?. yes In what State? Indiana Date of registration Sept.1906 16. How and where have you been employed since graduation? Give information for each year Private nursing, Indianapolis and vicinity 17. Name and permanent address of nearest relative D. b Gaskill, Frankfut Indiana Date March. 3-1911 Signature Ina m. Gaskill with This blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to be forwarded credentials" (Form Nos. 3 and 4), to the Chairman National Committee on Red Cross Nursing Service, Washington, D. G.

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    "ocrText": "No. 1\nH\nAMERICAN RED CROSS\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nI. Name of applicant\nIna m. Gashill\n2. Address in full. 2.6 the Guildfards, Indianapolic Ind\n26 3. Date of birth Dlec 2.- 1884\nPlace of birth Frankfest Indiana\n4. Are you married, single, or a widow ?\nSample\n5. Are you a citizen of the United States?\nyes\n6. Have you any physical defects\nno.\n7. Education and occupation before entering Training School\ngraduate of\nTrankfat High School\n8.\nFrom what Training School did you graduate? Joseph Eastman. Hospital\nTraining School for nurses\n9. Character of hospital: General?\nSpecial?\nPrivate? Private\nIO. How many beds in hospital at time of graduation?\nTimenty\nII. Date of graduation Feb. 1906\nLength of course 2 years\n12. Name and address of Superintendent of Training School under whom you were trained\nMin Gertrudee Jennes, 6295 Lount St., Centralia .). I'll\nI3. Of what nursing organization are you a member?\nMarion Association\nr\n14. Give name and address of Secretary Min. Lama Stegner, 25 Millikan\nI5. Are you a registered nurse?. yes In what State? Indiana Date of registration Sept.1906\n16. How and where have you been employed since graduation? Give information for each year\nPrivate nursing, Indianapolis and vicinity\n17. Name and permanent address of nearest relative D. b Gaskill,\nFrankfut Indiana\nDate March. 3-1911\nSignature Ina m. Gaskill\nwith\nThis blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to be forwarded\ncredentials\" (Form Nos. 3 and 4), to the Chairman National Committee on Red Cross Nursing Service, Washington, D. G."
}