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APPLICATION FOR ADMISSION TO /TEACHER TRAINING COURSE
FORM 22
FOR INSTRUCTORS IN HOME HYGIENE AND CARE OF THE SICK
REV 3-1-38
1938 - SUMMER SESSION - 1938
PLEASE FILL IN ALL ITEMS COMPLETELY TO AVOID DELAY.
For which College or University are you applying Colorado State College
Name in full Virginia Louise Merrill Robinson
66059
is
Red Cross Badge
No.
H.D.
334 Boston Post Road, Weston, Massachusetts
Address
Date of birth March 10, 1911
Race American
Single yes
Married
(PLEASE CHECK)
NURSING EDUCATION:
School of nursing
Mass. Memorial Hospital, Harrison Ave., Boston, Massachusetts
(NAME)
(LOCATION)
Date of graduation March 1932
Registration Massachusetts
(stATeConnecticut
If not an enrolled Red Cross nurse, have application papers been submitted to Local Red
Cross Nursing Committee?
Date
OTHER EDUCATION:
Diplomas and
Name and location
Dates attending
degrees rec'd.
High school
Diplôma
or equivalent
Horton Academy of Acadia
1926-28
University - Wolfwille - N. S.
Normal school
College
Simmons College Boston
1935
Summer schools
Course in Public Health Nursing Simmons
1931
As College work, have you had any of the following courses? If so, check.
Bacteriology
Epidemiology
Principles and Practices of
Economics
Nutrition
Public Health Nursing
(LIST COURSES)
Psychology
Public Speaking
(LIST COURSES)
Social Case Work
Sociology
(LIST COURSES)
Education
(LIST COURSES)
Other related courses:
1.
2.
3.
TEACHING EXPERIENCE: Give inclusive dates in all instances.
Elementary schools
High schools
Colleges
Hospital schools of nursing
Red Cross Home Hygiene and Care of the Sick High School - Jan. -June 1937 Jan
- 1938
(WHAT TYPK GROUPS)
Other teaching experience
PLEASE SEE OTHER SIDE
a
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"ocrText": "Z I\ne\ne\nn\nwhy\nAPPLICATION FOR ADMISSION TO /TEACHER TRAINING COURSE\nFORM 22\nFOR INSTRUCTORS IN HOME HYGIENE AND CARE OF THE SICK\nREV 3-1-38\n1938 - SUMMER SESSION - 1938\nPLEASE FILL IN ALL ITEMS COMPLETELY TO AVOID DELAY.\nFor which College or University are you applying Colorado State College\nName in full Virginia Louise Merrill Robinson\n66059\nis\nRed Cross Badge\nNo.\nH.D.\n334 Boston Post Road, Weston, Massachusetts\nAddress\nDate of birth March 10, 1911\nRace American\nSingle yes\nMarried\n(PLEASE CHECK)\nNURSING EDUCATION:\nSchool of nursing\nMass. Memorial Hospital, Harrison Ave., Boston, Massachusetts\n(NAME)\n(LOCATION)\nDate of graduation March 1932\nRegistration Massachusetts\n(stATeConnecticut\nIf not an enrolled Red Cross nurse, have application papers been submitted to Local Red\nCross Nursing Committee?\nDate\nOTHER EDUCATION:\nDiplomas and\nName and location\nDates attending\ndegrees rec'd.\nHigh school\nDiplôma\nor equivalent\nHorton Academy of Acadia\n1926-28\nUniversity - Wolfwille - N. S.\nNormal school\nCollege\nSimmons College Boston\n1935\nSummer schools\nCourse in Public Health Nursing Simmons\n1931\nAs College work, have you had any of the following courses? If so, check.\nBacteriology\nEpidemiology\nPrinciples and Practices of\nEconomics\nNutrition\nPublic Health Nursing\n(LIST COURSES)\nPsychology\nPublic Speaking\n(LIST COURSES)\nSocial Case Work\nSociology\n(LIST COURSES)\nEducation\n(LIST COURSES)\nOther related courses:\n1.\n2.\n3.\nTEACHING EXPERIENCE: Give inclusive dates in all instances.\nElementary schools\nHigh schools\nColleges\nHospital schools of nursing\nRed Cross Home Hygiene and Care of the Sick High School - Jan. -June 1937 Jan\n- 1938\n(WHAT TYPK GROUPS)\nOther teaching experience\nPLEASE SEE OTHER SIDE\na"
}