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I a 1 L a 1 6. Check all degrees obtained subsequent to entering training: 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) Courses in principles of teaching Courses in practice teaching (type) State teacher's certificate? Yes Where? Georgia Foreign languages spoken None L IV. EXPERIENCE er a Hospital or Organization City and State Nature of Work Dates Person in Charge 5 Emory.Univ. Hosp. Emory Univ. Ga. Night Supervisor Miss Grace Doig Good Samaritan Höspital Lexington, Ky. Night Supervisor Miss Lake Johnson Scottish Rite Hospital Decatur, Ga. Ward Supervisor 1933-35 1927-29Dr. Hiram Kite Akron 2.: Health Dept Akron Ohio Sehoal Nurse 1923-24 Miss Yost F Vet. Admin. Lake City, Fla. Staff Nurse 1929-33 Miss Bessie Ross Asst. Supt. Nurses Rex. Hospital Raleigh N. G. 1937-38 Miss Wottie Corker S N. c. State College Infirmary Raleigh N. C. Head Nurse 1940 Gr. A. C. Campbell 5 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 V. EMPLOYMENT BASIS 1. Type of work preferred: Rural Urban x Will you accept either? Yes 2. What State or localities do you prefer? None 3. When will you be available? Give 2. weeks notice to present employee. 4. Can you drive a car? Yes Do you own a car? $.175. dow payment on new 5. What dependents or family responsibilities do you have? None plymouth 6. Name of nearest relative to be notified in case of accident (relationship and address) Sister Mrs. Alice H. Brinson 204 hurch St. Kublin Ga. 7. Give name of placement service, if registered with one Norths Hospital Registry - Suite 401 Republic Bldg., Louisville Ky. 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? 1938 Remarks (Please attach photograph of yourself, taken within the past two years.) (Signature of applicant) Date

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    "ocrText": "I\na\n1\nL\na\n1\n6. Check all degrees obtained subsequent to entering training:\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)\nCourses in principles of teaching\nCourses in practice teaching (type)\nState teacher's certificate? Yes\nWhere? Georgia\nForeign languages spoken\nNone\nL\nIV. EXPERIENCE\ner\na\nHospital or Organization\nCity and State\nNature of Work\nDates\nPerson in Charge\n5\nEmory.Univ. Hosp.\nEmory Univ. Ga.\nNight Supervisor\nMiss Grace Doig\nGood Samaritan Höspital\nLexington, Ky.\nNight Supervisor\nMiss Lake Johnson\nScottish Rite Hospital\nDecatur, Ga.\nWard Supervisor\n1933-35\n1927-29Dr. Hiram Kite\nAkron 2.: Health Dept\nAkron Ohio\nSehoal Nurse\n1923-24\nMiss Yost\nF\nVet. Admin.\nLake City, Fla.\nStaff Nurse\n1929-33\nMiss Bessie Ross\nAsst. Supt. Nurses\nRex. Hospital\nRaleigh N. G.\n1937-38\nMiss Wottie Corker\nS\nN. c. State College Infirmary Raleigh N. C.\nHead Nurse\n1940\nGr. A. C. Campbell\n5\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\nV. EMPLOYMENT BASIS\n1. Type of work preferred: Rural\nUrban x\nWill you accept either? Yes\n2. What State or localities do you prefer?\nNone\n3. When will you be available? Give 2. weeks notice to present employee.\n4. Can you drive a car?\nYes\nDo you own a car? $.175. dow payment on new\n5. What dependents or family responsibilities do you have? None\nplymouth\n6. Name of nearest relative to be notified in case of accident (relationship and address)\nSister Mrs. Alice H. Brinson 204 hurch St. Kublin Ga.\n7. Give name of placement service, if registered with one\nNorths Hospital Registry - Suite 401 Republic Bldg., Louisville Ky.\n8. May we approach your present employer for references?\nYes\n9. Do you have good health?\nYes\n10. When did you have your last physical examination?\n1938\nRemarks\n(Please attach photograph\nof yourself, taken within\nthe past two years.)\n(Signature of applicant)\nDate"
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