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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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- Core
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Context sent to Scholar
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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."
}