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AMERICAN RED CROSS
NURSING SERVICE
APPLICATION FOR ENROLLMENT
(To be filled out entirely in applicant's handwriting)
1. Name of applicant
2. Address
426 Edst26 with
Licy
3. Date of birth July 8 - 1871
Single
Place of birth Lusting (Outlands) Vu
4. Are you married, single or a widow?
5. Are you a citizen of the United States? yes
6. Have you any physical defects?
mo
7. Education and before General School ,
occupation entering Training School
Target in Public School / year
8.
School for nurses
From what training School did you graduate? Bellenine Larming
H
9. Character of hospital General? yes Special?
-
Private? -
10. How many beds in hospital at time of graduation? 975-
11. Date of graduation. Jan. 1899 Length of course. 2 years
12. Name and address of Superintendent of Training School under whom you were trained
13. Of what nursing organization are you a member ? Bellevine alumnae arso
agnes . Bruman. - 9 Limisation place 4.4
14. Give name and address of Secretary. m E Reading 217 E.27 its it
15. Are you a registered nurse? yes
In what State?
Date of registration let 16 - 1905
und york
16. How and where have you been employed since graduation? Give information for each year. one year
as Supt. Eye Ear throat Hospital, masting Im D.C. line them
17. pritiate Name and permanent during address in of mashing nearest relative me new 4nh *
Cream art Gally much. re Signature Lucy minimujaror
Date Manch 10-1911
* Supt. Savannah So- Hoop- 2 yrs; Supt of nurse Columbia Haif,
stacking s DC. 24/2gros, on duty R.C Headquarters Suph
of nume u. S. Public Health Service
Page data
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- Source index
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- Type
- photo
- Media ID
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- Size
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Document data
- ID
- 2661985
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "AMERICAN RED CROSS\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\n1. Name of applicant\n2. Address\n426 Edst26 with\nLicy\n3. Date of birth July 8 - 1871\nSingle\nPlace of birth Lusting (Outlands) Vu\n4. Are you married, single or a widow?\n5. Are you a citizen of the United States? yes\n6. Have you any physical defects?\nmo\n7. Education and before General School ,\noccupation entering Training School\nTarget in Public School / year\n8.\nSchool for nurses\nFrom what training School did you graduate? Bellenine Larming\nH\n9. Character of hospital General? yes Special?\n-\nPrivate? -\n10. How many beds in hospital at time of graduation? 975-\n11. Date of graduation. Jan. 1899 Length of course. 2 years\n12. Name and address of Superintendent of Training School under whom you were trained\n13. Of what nursing organization are you a member ? Bellevine alumnae arso\nagnes . Bruman. - 9 Limisation place 4.4\n14. Give name and address of Secretary. m E Reading 217 E.27 its it\n15. Are you a registered nurse? yes\nIn what State?\nDate of registration let 16 - 1905\nund york\n16. How and where have you been employed since graduation? Give information for each year. one year\nas Supt. Eye Ear throat Hospital, masting Im D.C. line them\n17. pritiate Name and permanent during address in of mashing nearest relative me new 4nh *\nCream art Gally much. re Signature Lucy minimujaror\nDate Manch 10-1911\n* Supt. Savannah So- Hoop- 2 yrs; Supt of nurse Columbia Haif,\nstacking s DC. 24/2gros, on duty R.C Headquarters Suph\nof nume u. S. Public Health Service"
}