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Hawaii Unit - Return to Mrs. E. Amick, Nursing Service
2/26/43
Confidential
FORM 1219
REV. JUNE 1942
Please return
AMERICAN RED CROSS
APPLICATION FOR EMPLOYMENT - NURSING PERSONNEL
I. PERSONAL
Badge (No. # -3972
Name in full Miss LATus LilliAn Viola
(H.D.
(MISS OR MRS.)
(IF MARRIED. GIVE MAIDEN NAME ALSO)
Not enrolled
Present address yenkers (STREET) general (CITY) Hasp. yonkershy, (STATE) Tel. No. yankers 3-2670
Permanent address Same
Tel. No.
(STREET)
(CITY)
(STATE)
Citizenship us,
Color White Place of birth lewBRilain, Conn.
L
Present position Supervisory OB." 1440 (SALÄRY) peyyear. Date of birth ApRi 23-1892 Th
(TITLE)
Yankers general (ORGANIZATION) Hospital yonkers (ADDRESS) A.y.
Single
Widowed
0
Married
Divorced
-
/°
II. PROFESSIONAL STATUS
States registered new new york gerely 5 registration all of them.
Pennsylognia 4. Florida.
To organizations belong? a.n.a; A.R.C; a Congress
what professional do you,
If offer Gyn, almannes Friends Hoap
not an enrolled Red Cross nurse, has your app ication for enrollment been submitted to
your Local Committee Red Cross Nursing Service? (NOT chapter committee)
When and to whom?
III. EDUCATION
1. Prior to entering school of nursing:
24211, new School city and Stgtinw 1909-1909 Dates,
Diploma-Degree
Major
High
Jersey Fleep School City nJ 1930-1932 yes
English.9.
Normal School
University
Other
2. School of nursing from) FRiend Hospita FRAnK ford Philas (STATE) Pa,
(NAME)
(CITY)
which you graduated)
Th
Length of course
5 years
3 years
(Specify other)
Date completed aug. 17-1913
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) MounT Sinai Hospital
new YORK ity
200.1.1913 may 1913
(2) Phila Hosp. for Contugion. Phila Pax.
Contagious Diseuses may 1-15-0017
(3) Lying. In Hospital new york City
Obstetrics Fit
(4.) Phill school of Sociallservice Public.Health) time Phila Pa
Public Health Sept.1924-fore 1925
5. Academic study since graduation from school of nursing:
College or University
City and State
Academic years
No. Points
edta
(1) Teachers College
new York City
Sept,1932-Feb1983
2
(2)
y
new york City
27
(3)
new new York York city
2
modern
(4) new York university
2
word mitcharg
new York city
Fet.1942-may1942
2
Supervision
(6)
new bork city
Seph.
2
of
J
2
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"ocrText": "Hawaii Unit - Return to Mrs. E. Amick, Nursing Service\n2/26/43\nConfidential\nFORM 1219\nREV. JUNE 1942\nPlease return\nAMERICAN RED CROSS\nAPPLICATION FOR EMPLOYMENT - NURSING PERSONNEL\nI. PERSONAL\nBadge (No. # -3972\nName in full Miss LATus LilliAn Viola\n(H.D.\n(MISS OR MRS.)\n(IF MARRIED. GIVE MAIDEN NAME ALSO)\nNot enrolled\nPresent address yenkers (STREET) general (CITY) Hasp. yonkershy, (STATE) Tel. No. yankers 3-2670\nPermanent address Same\nTel. No.\n(STREET)\n(CITY)\n(STATE)\nCitizenship us,\nColor White Place of birth lewBRilain, Conn.\nL\nPresent position Supervisory OB.\" 1440 (SALÄRY) peyyear. Date of birth ApRi 23-1892 Th\n(TITLE)\nYankers general (ORGANIZATION) Hospital yonkers (ADDRESS) A.y.\nSingle\nWidowed\n0\nMarried\nDivorced\n-\n/°\nII. PROFESSIONAL STATUS\nStates registered new new york gerely 5 registration all of them.\nPennsylognia 4. Florida.\nTo organizations belong? a.n.a; A.R.C; a Congress\nwhat professional do you,\nIf offer Gyn, almannes Friends Hoap\nnot an enrolled Red Cross nurse, has your app ication for enrollment been submitted to\nyour Local Committee Red Cross Nursing Service? (NOT chapter committee)\nWhen and to whom?\nIII. EDUCATION\n1. Prior to entering school of nursing:\n24211, new School city and Stgtinw 1909-1909 Dates,\nDiploma-Degree\nMajor\nHigh\nJersey Fleep School City nJ 1930-1932 yes\nEnglish.9.\nNormal School\nUniversity\nOther\n2. School of nursing from) FRiend Hospita FRAnK ford Philas (STATE) Pa,\n(NAME)\n(CITY)\nwhich you graduated)\nTh\nLength of course\n5 years\n3 years\n(Specify other)\nDate completed aug. 17-1913\n3. Undergraduate affiliations:\nHospital or Organization\nCity and State\nClinical Specialty No. Months\n(1)\n(2)\n(3)\n4. Postgraduate clinical courses: (Do not include academic work or employment.)\nHospital or Organization\nCity and State\nClinical Specialty Dates\n(1) MounT Sinai Hospital\nnew YORK ity\n200.1.1913 may 1913\n(2) Phila Hosp. for Contugion. Phila Pax.\nContagious Diseuses may 1-15-0017\n(3) Lying. In Hospital new york City\nObstetrics Fit\n(4.) Phill school of Sociallservice Public.Health) time Phila Pa\nPublic Health Sept.1924-fore 1925\n5. Academic study since graduation from school of nursing:\nCollege or University\nCity and State\nAcademic years\nNo. Points\nedta\n(1) Teachers College\nnew York City\nSept,1932-Feb1983\n2\n(2)\ny\nnew york City\n27\n(3)\nnew new York York city\n2\nmodern\n(4) new York university\n2\nword mitcharg\nnew York city\nFet.1942-may1942\n2\nSupervision\n(6)\nnew bork city\nSeph.\n2\nof\nJ\n2"
}