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OCR
I
a
a
L
a
1
-
6.
Check all degrees obtained subsequent to entering training:
Bachelor's Degree
Master's Degree
Certificate in Public Health Nursing
L
7. In which major field was your academic study?
Institutional
Public Health
Other (specify)
Non-nursing (specify)
Courses in principles of teaching
a
Courses in practice teaching (type)
L
State teacher's certificate?
yes.
Where?
Foreign languages spoken
None
Georgia
5
IV. EXPERIENCE
a
Hospital or Organization
City and State
Nature of Work. Dates Person in Charge
Emory unis, Hosp.
Good Samgritan an Hasp.
Scottish Rite
Lexington
Emony unis K19 99
night Supervisor 1923- Miss Grace Doig
night Sephervisor misshia Ke Jahaso
F
Decatter, ad
tokhood
Ikran Shilo
ward Supbrusis. en 1927-1929 Mr. Hiran Kite
hod nurse. 1923-24 miss Yest
S
Vatcrans Administration
hareClyth fla.
staff nurse 1929.33. Miss Bessie Ross
tisst Subt nurses
Rex Hospital Saleigh n. C
Miss wottieCorker
yone Statel alleges Informany Raleaghn C Head nurse 19%t- dr. C.Campbell
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
2. What State or localities do you prefer? none
Will you accept either? yes
4. 3. When Can will drive you be car? available? yes five 2 weeks notice Do you own to present a car' $175 employee. 06 down perment on
you a
5. What dependents or family responsibilities do you have? none. new Plymouth
6. Name of nearest relative to be notified in case of accident (relationship and address)
7. Give name of placement ,service, if registered withoone
Sister Mrs. Hice H Brinson 20H Church St. Hublin ga
Norths Hospital Registry Suite Hol Republic Bldg hoursville Ky.
8. May we approach your present employer for references?
9. Do you have good health?
yes
yes.
10. When did you have your last physical examination?
1938.
Remarks:
W
8
(Please attach photograph
of yourself, taken within
the past two years.)
Laverna Fish Harvard
(Signature of applicant)
Date lug 17, 1942
Page data
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- Source index
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- Type
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Document data
- ID
- 2661600
- Core
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- Type
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DTO data
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"ocrText": "I\na\na\nL\na\n1\n-\n6.\nCheck all degrees obtained subsequent to entering training:\nBachelor's Degree\nMaster's Degree\nCertificate in Public Health Nursing\nL\n7. In which major field was your academic study?\nInstitutional\nPublic Health\nOther (specify)\nNon-nursing (specify)\nCourses in principles of teaching\na\nCourses in practice teaching (type)\nL\nState teacher's certificate?\nyes.\nWhere?\nForeign languages spoken\nNone\nGeorgia\n5\nIV. EXPERIENCE\na\nHospital or Organization\nCity and State\nNature of Work. Dates Person in Charge\nEmory unis, Hosp.\nGood Samgritan an Hasp.\nScottish Rite\nLexington\nEmony unis K19 99\nnight Supervisor 1923- Miss Grace Doig\nnight Sephervisor misshia Ke Jahaso\nF\nDecatter, ad\ntokhood\nIkran Shilo\nward Supbrusis. en 1927-1929 Mr. Hiran Kite\nhod nurse. 1923-24 miss Yest\nS\nVatcrans Administration\nhareClyth fla.\nstaff nurse 1929.33. Miss Bessie Ross\ntisst Subt nurses\nRex Hospital Saleigh n. C\nMiss wottieCorker\nyone Statel alleges Informany Raleaghn C Head nurse 19%t- dr. C.Campbell\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\n2. What State or localities do you prefer? none\nWill you accept either? yes\n4. 3. When Can will drive you be car? available? yes five 2 weeks notice Do you own to present a car' $175 employee. 06 down perment on\nyou a\n5. What dependents or family responsibilities do you have? none. new Plymouth\n6. Name of nearest relative to be notified in case of accident (relationship and address)\n7. Give name of placement ,service, if registered withoone\nSister Mrs. Hice H Brinson 20H Church St. Hublin ga\nNorths Hospital Registry Suite Hol Republic Bldg hoursville Ky.\n8. May we approach your present employer for references?\n9. Do you have good health?\nyes\nyes.\n10. When did you have your last physical examination?\n1938.\nRemarks:\nW\n8\n(Please attach photograph\nof yourself, taken within\nthe past two years.)\nLaverna Fish Harvard\n(Signature of applicant)\nDate lug 17, 1942"
}