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Registered in State of New York
Date
Aug. 1917
Languages spoken (underline those spoken fluently) Slight knowledge of French
tust 4/25
Available for service in event of war Yes 4/25
If not, why?
Available for service in home community in time of emergency
Yes
If not, why?
ENTERED
MONTHS COURSE AT.
ON
19
(NAME OF INSTITUTION)
(AVA any HINOW)
COURSE TAKEN ON SCHOLARSHIP FOR FROM NATIONAL HEADQUARTERS.
COURSE COMPLETED ON
PAID
LOAN
CHAPTER FUNDS.
19
NAME
(MONTH AND DAY)
SERVICE RECORD
APPOINTED
SERVICE TERMINATED
NAME OF SERVICE
PORTATION
RESIGNED
DATE
ADDRESS OF NURSE
SALARY
DATE
TRANSFERRED
REASON
TRANS-
OR DISMISSED
2-21-18 A.R.C., Abroad
5-14-19
Instruction Service-Douglas Co. Oreg. July to
Nov.
1920
How and where employed since graduation.
Give dates with months
Name and address of employers
Private Nursing,
2. yrs.
Supts, No. Shon Babies Summer Hosp
Salem, Mass. 2 Seasons
Private Nursing.
6.mas.,
Tuberculosis Nursing, Saranac, N.Y.
Office Nurse,
Asst. Supt. Children's Hosp.
Boston,
Mass.
Seattle Day Nursery Supt.
1921
Check any of föllowing in which experience has been had annd time in each:
General visiting nursing
Municipal nursing
Infant welfare nursing
Industrial nursing
Tuberculosis nursing. X
Social service nursing
School nursing
Other
Special course in public health nursing or social service work, state where, and between what dates:
Preference as to locality
Kind of work desired
Salary desired
Religion
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"ocrText": "Registered in State of New York\nDate\nAug. 1917\nLanguages spoken (underline those spoken fluently) Slight knowledge of French\ntust 4/25\nAvailable for service in event of war Yes 4/25\nIf not, why?\nAvailable for service in home community in time of emergency\nYes\nIf not, why?\nENTERED\nMONTHS COURSE AT.\nON\n19\n(NAME OF INSTITUTION)\n(AVA any HINOW)\nCOURSE TAKEN ON SCHOLARSHIP FOR FROM NATIONAL HEADQUARTERS.\nCOURSE COMPLETED ON\nPAID\nLOAN\nCHAPTER FUNDS.\n19\nNAME\n(MONTH AND DAY)\nSERVICE RECORD\nAPPOINTED\nSERVICE TERMINATED\nNAME OF SERVICE\nPORTATION\nRESIGNED\nDATE\nADDRESS OF NURSE\nSALARY\nDATE\nTRANSFERRED\nREASON\nTRANS-\nOR DISMISSED\n2-21-18 A.R.C., Abroad\n5-14-19\nInstruction Service-Douglas Co. Oreg. July to\nNov.\n1920\nHow and where employed since graduation.\nGive dates with months\nName and address of employers\nPrivate Nursing,\n2. yrs.\nSupts, No. Shon Babies Summer Hosp\nSalem, Mass. 2 Seasons\nPrivate Nursing.\n6.mas.,\nTuberculosis Nursing, Saranac, N.Y.\nOffice Nurse,\nAsst. Supt. Children's Hosp.\nBoston,\nMass.\nSeattle Day Nursery Supt.\n1921\nCheck any of föllowing in which experience has been had annd time in each:\nGeneral visiting nursing\nMunicipal nursing\nInfant welfare nursing\nIndustrial nursing\nTuberculosis nursing. X\nSocial service nursing\nSchool nursing\nOther\nSpecial course in public health nursing or social service work, state where, and between what dates:\nPreference as to locality\nKind of work desired\nSalary desired\nReligion"
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