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I 0 - + Confidential FORM 1219 REV. JAN. 1943 D Please return AMERICAN RED CROSS ed APPLICATION FOR EMPLOYMENT - NURSING PERSONNEL I. PERSONAL Badge (No 66919 Name in full miss (MISS OR MRS.) Sunjay MARRIED, GIVE Holt MAIDEN (H.D. (IF NAME ALSO) Not enrolled Present address 20 west 36 Kansas Cirly mo Tel. No. we 8793 (STREET) (CITY) (STATE) at Olathe Kansas Tel. No 192 Permanent address - (STREET) (CITY) Citizenship yes Color Place (STATE) of birth quinten, Oklahoma Present position Educational Director 03818 $2520.00 but Date of birth 12-7-1898 (TITLE) (SALARY) Visiting (ORGANIZATION) Nurse Association 1325 Real (ADDRESS) Eldg Single Widowed Married Divorced II. PROFESSIONAL STATUS States registered missouri I Kansas Current registration missouri To what professional organizations do you belong? A.NA mo State nurses association. Rublic Health K.C League nursing N.L n.E. If not an enrolled Red Cross nurse, have you applied for enrollment? When? To whom? KIID III. EDUCATION 1. Prior to entering school of nursing: Name alachetis City and State Dates Diploma-Degree Major High School alathe 15 1914-18 yes Dylana inne Sci Normal School .. University Other 2. School of nursing from) St maxy's (NAME) Hospital Kansas (CITY) City missouri (STATE) which you graduated) Length of course 5 years 3 years (Specify other) Date completed may 1922 3. Undergraduate affiliations: Hospital or Organization City and State Clinical Specialty No. Months (1) (2) ) (3) 4. Postgraduate clinical courses: (Do not include academic work or employment.) Hospital or Organization City and State Clinical Specialty Dates (1) (2) 6 , (3) 5. Academic study since graduation from school of nursing: 1 College or University City and State Academic years No. Points (1) (2) (3) University amminssota minnesigotis min 1933-1943 B.S Degree P.I nursing" is

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    "ocrText": "I\n0\n-\n+\nConfidential\nFORM 1219\nREV. JAN. 1943\nD\nPlease return\nAMERICAN RED CROSS\ned\nAPPLICATION FOR EMPLOYMENT - NURSING PERSONNEL\nI. PERSONAL\nBadge (No 66919\nName in full miss (MISS OR MRS.) Sunjay MARRIED, GIVE Holt MAIDEN\n(H.D.\n(IF NAME ALSO)\nNot enrolled\nPresent address 20 west 36 Kansas Cirly mo Tel. No. we 8793\n(STREET)\n(CITY)\n(STATE)\nat\nOlathe Kansas Tel. No 192\nPermanent address\n-\n(STREET)\n(CITY)\nCitizenship yes\nColor\nPlace (STATE) of birth quinten, Oklahoma\nPresent position Educational Director 03818 $2520.00 but Date of birth 12-7-1898\n(TITLE)\n(SALARY)\nVisiting (ORGANIZATION) Nurse Association\n1325 Real (ADDRESS) Eldg\nSingle\nWidowed\nMarried\nDivorced\nII. PROFESSIONAL STATUS\nStates registered missouri I Kansas Current registration missouri\nTo what professional organizations do you belong? A.NA mo State nurses association.\nRublic Health K.C League nursing N.L n.E.\nIf not an enrolled Red Cross nurse, have you applied for enrollment?\nWhen?\nTo whom?\nKIID\nIII. EDUCATION\n1. Prior to entering school of nursing:\nName\nalachetis\nCity and State\nDates Diploma-Degree Major\nHigh School\nalathe 15\n1914-18\nyes Dylana inne\nSci\nNormal School\n..\nUniversity\nOther\n2. School of nursing from) St maxy's (NAME) Hospital Kansas (CITY) City missouri (STATE)\nwhich you graduated)\nLength of course\n5 years\n3 years\n(Specify other)\nDate completed may 1922\n3. Undergraduate affiliations:\nHospital or Organization\nCity and State\nClinical Specialty No. Months\n(1)\n(2)\n)\n(3)\n4. Postgraduate clinical courses:\n(Do not include academic work or employment.)\nHospital or Organization\nCity and State Clinical Specialty\nDates\n(1)\n(2)\n6 ,\n(3)\n5. Academic study since graduation from school of nursing:\n1\nCollege or University\nCity and State\nAcademic years\nNo. Points\n(1)\n(2) (3) University amminssota minnesigotis min\n1933-1943\nB.S Degree\nP.I nursing\" is"
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