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FORM NO. 3
AMERICAN RED CROSS
THE EGGST
NURSING SERVICE
WASHING UP
CREDENTIALS FROM TRAINING SCHOOL
I. Name
of applicant
2.
3. Date of graduation Apr. 28-1913 Length of course. 3 yrs.
have
Name of Training School Jan Francisco Hospital
Location
Was entire course given in above Training School? Yes
If not, state where, giving dates
4. Daily average number of patients in hospital during applicant's training. 150
5. Character of hospital:
General
6.
yes
Special
V
Private -
Did this course include the care of men?
the
Contagious
diseases?
no
Obstetrics?
7. pupils did If hold so, give length her of training? time Head Nurse
Are sent out for private duty?
you
8. What, if any, position of responsibility applicant during
Lurgical ward 3 nuo
9. Was her record satisfactory in regard to the following:
IO. Was she employed in your hospital after graduation? no
Conduct? Nis
Health? Work? Joseph
II. What has bee er standing as a nurse and a woman since graduation? Excellent
12. Are you willing to recommend her for Red Cross Service? yes
Remarks:
Superjacendent of training School. an
Graduate of Californis Hereu
Name and address of Superintendent under whom the applicant was trained
Date Feb 27-1917
Miks M Arthey
Pres by tereau Hospital
The above information will be considered confidential
This blank is to be sent direct to the Superintendent of Training School from which applicant graduated with
y
circular letter concerning same (Form No. 5)
REQ. 16-511-JUNE-5000
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"ocrText": "FORM NO. 3\nAMERICAN RED CROSS\nTHE EGGST\nNURSING SERVICE\nWASHING UP\nCREDENTIALS FROM TRAINING SCHOOL\nI. Name\nof applicant\n2.\n3. Date of graduation Apr. 28-1913 Length of course. 3 yrs.\nhave\nName of Training School Jan Francisco Hospital\nLocation\nWas entire course given in above Training School? Yes\nIf not, state where, giving dates\n4. Daily average number of patients in hospital during applicant's training. 150\n5. Character of hospital:\nGeneral\n6.\nyes\nSpecial\nV\nPrivate -\nDid this course include the care of men?\nthe\nContagious\ndiseases?\nno\nObstetrics?\n7. pupils did If hold so, give length her of training? time Head Nurse\nAre sent out for private duty?\nyou\n8. What, if any, position of responsibility applicant during\nLurgical ward 3 nuo\n9. Was her record satisfactory in regard to the following:\nIO. Was she employed in your hospital after graduation? no\nConduct? Nis\nHealth? Work? Joseph\nII. What has bee er standing as a nurse and a woman since graduation? Excellent\n12. Are you willing to recommend her for Red Cross Service? yes\nRemarks:\nSuperjacendent of training School. an\nGraduate of Californis Hereu\nName and address of Superintendent under whom the applicant was trained\nDate Feb 27-1917\nMiks M Arthey\nPres by tereau Hospital\nThe above information will be considered confidential\nThis blank is to be sent direct to the Superintendent of Training School from which applicant graduated with\ny\ncircular letter concerning same (Form No. 5)\nREQ. 16-511-JUNE-5000"
}