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{
    "localId": "2662021",
    "label": "Nash, Hazel G. (Mrs. V.L.) nee Hazel G. Bruner",
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    "sourceUrl": "https://catalog.archives.gov/id/2662021",
    "contentType": "document",
    "title": "Nash, Hazel G. (Mrs. V.L.) nee Hazel G. Bruner",
    "citationUrl": "https://catalog.archives.gov/id/2662021",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
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    "url": "https://catalog.archives.gov/id/2662021",
    "naId": 2662021,
    "coverageEndDate": {
        "day": 1,
        "logicalDate": "1925-04-01",
        "month": 4,
        "year": 1925
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    "coverageStartDate": {
        "day": 16,
        "logicalDate": "1917-03-16",
        "month": 3,
        "year": 1917
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            "description": "Ancestry Collection: 2365",
            "note": "This file was scanned as part of a collaboration effort between Ancestry and the National Archives.",
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    "ocrText": "FORM NO. 1\nTHE MERICAN RED COOSE\nWASHINGTON\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nI.\nName of applicant in full Wazel Gertrude Brunor\n2. Address in full\nyst.\n2401 Sacromento St. San Francisco - Caly.\n3.\nDate of birth\naugust 7- 1891\nPlace of birth Santa Rosa. Caly\n4. Are you married, single or a widow?\nSingle\nAre you a citizen of the United States?\n5. Have you any physical defects or tendency to constitutional or pulmonary trouble?\nnone\nyes,\n6. Name educational institutions attended before entering training school, stating number of years at each and from which you\nSanta were graduated Rosa Santa High Rosa S chool- Grammar graduated School and\n7. Occupation before entering training school none\n8. From what hospital training school did you receive your diploma? Give location of hospital and date of graduation\nfrom Lane Hap ital Training School - 1913\nSan Francisco - ealy onnia\n9.\nIf your training as a nurse was received in more than one hospital, give name, location and time spent in each\nIO.\nCharacter of hospital: General? yes\nSpecial?\nPrivate? -\nII. Did your training include the care of men? yes\nContagious diseases?\nno\nObstetrics? yes\n12. Daily average number of patients in hospital during training\n150\nLength of course\nsyre.\n13. Name and address of superintendent of training school under whom you received training\nmiss Harriet m= arthur - Presp. Hospital new York\n14. Of what nursing organizations are you a member?\nLand Hospital alumnian\n15. Which, if any, is affiliated with the American Nurses Association?\nLane Alumni\n16.\nGive name and address of secretary of at least one of these organizations. miss Klute , San mate\nCaly onnia Secretary Rane Clumni\n17. Are you a registered nurse? yes\nIn what state? Calif Date of registration 1914\n18. State how, where and for what period of time, in each instance, you have been employed since graduation, including present\nemployment\nPrivate duty during I yrs.\n19. Should our country be involved in war, would you be available for active service? yes\n20. Would you be willing to take the oath of allegiance?\nyes\n21. What languages other than English do you speak?\nnone\n22. Name and permanent address of nearest relative mr. e.m Bruner. 421 Second St.\nDate march 16- 1917\nSanta Rosa Caly\nSignature Hazel g. Bruner.\nThis blank is to be sent to applicant with circular letter Form 7, together with Form 11, and rules governing enrollment. After\napproval and endorsement by local Committee to be forwarded with \"credentials\" (Forms Nos. 3 and 4) together with Forms 10-11 to the\nChairman, National Committee on Red Cross Nursing Service, Washington, D. C."
}