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Young, Helen

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FORM NO. 1 AMERICAN RED CROSS NURSING SERVICE APPLICATION FOR ENROLLMENT (To be filled out entirely in applicant's handwriting) 1. Name of applicant Address in full 37.8.21 al street new York City Lel. 1613 Lennoy Helen young Badge number 2. 35 3. Date of birth have 17 (18 79) Place of birth Chalham Ontaris 4. Are you married, single or a widow? Single Are you a citizen of the United States? no 5. Have you any physical defects or tendency to constitutional or pulmonary trouble? None 6. Name educational institutions attended before entering training school, stating number of years at each and from which you were graduated Charham Collegiate Institute Ontaris normal College 7. Occupation before entering training school Teacher. 8. From what hospital training school were you graduated? Give location of hospital and date of graduation Prechyterism Nosfillet Training School for hurses Class 1912 New York City 9. Character of hospital: General Special? Private? 10. Daily average number of patients in hospital during training 230 Length of 3 yrs course 11. Name and address of superintendent of training school under whom you received training miss anna C. maxwell 378.71 new York City 12. Of what nursing organizations are you a member ? alumni Association of Presby terian Laining School for nurses 13. Give name and address of secretary of at least one of these organizations Edith Evanger Fenimore Ave. Brooklyn 14. Are you a registered nurse ? year In what state ? New York Date of registration 1913 15. State how, where and for what period of time, in each instance, you have been employed since graduation, including present employment Head nurse on Women's Surgical loard 9 months Head musos on Women's medical wands a year and As half Both position in Hospital new York City 16. In the event of war are you willing to take the oath of allegiance ? yes 17. Name and permanent address of nearest relative Johns Lo. Young 249 Vedloria ave, Chatham. Ond. Canada Date Dec. 9.14 Signature Nelen Young. This blank is to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to be forwarded with "credentials" (Forms Nos. 3 and 4) to the Chairman, National Committee on Red Cross Nursing Service, Washington, D.C.

Page data

Page
21
Source index
0
Type
photo
Media ID
82dd44dfcc0bf0f3
Size
unknown

Document data

ID
2662525
Core
doc
Type
document
DTO data 
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Context sent to Scholar

Document identity 
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Document source extras 
{
    "url": "https://catalog.archives.gov/id/2662525",
    "naId": 2662525,
    "coverageEndDate": {
        "day": 9,
        "logicalDate": "1966-12-09",
        "month": 12,
        "year": 1966
    },
    "coverageStartDate": {
        "day": 17,
        "logicalDate": "1915-02-17",
        "month": 2,
        "year": 1915
    },
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Page context 
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    "ocrText": "FORM NO. 1\nAMERICAN RED CROSS\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\n1. Name of applicant\nAddress in full 37.8.21 al street new York City Lel. 1613 Lennoy\nHelen young\nBadge number\n2.\n35\n3. Date of birth have 17 (18 79)\nPlace of birth Chalham Ontaris\n4. Are you married, single or a widow? Single\nAre you a citizen of the United States? no\n5. Have you any physical defects or tendency to constitutional or pulmonary trouble? None\n6. Name educational institutions attended before entering training school, stating number of years at each and\nfrom which you were graduated Charham Collegiate Institute Ontaris\nnormal College\n7. Occupation before entering training school\nTeacher.\n8. From what hospital training school were you graduated? Give location of hospital and date of graduation\nPrechyterism Nosfillet Training School for hurses Class 1912 New York City\n9. Character of hospital: General\nSpecial?\nPrivate?\n10. Daily average number of patients in hospital during training 230\nLength of 3 yrs\ncourse\n11. Name and address of superintendent of training school under whom you received training\nmiss anna C. maxwell 378.71 new York City\n12. Of what nursing organizations are you a member ? alumni Association of\nPresby terian Laining School for nurses\n13. Give name and address of secretary of at least one of these organizations\nEdith Evanger Fenimore Ave. Brooklyn\n14. Are you a registered nurse ? year In what state ? New York Date of registration 1913\n15. State how, where and for what period of time, in each instance, you have been employed since graduation,\nincluding present\nemployment Head nurse on Women's Surgical\nloard 9 months Head musos on Women's medical\nwands a year and As half Both position in\nHospital new York City\n16. In the event of war are you willing to take the oath of allegiance ?\nyes\n17. Name and permanent address of nearest relative\nJohns Lo. Young\n249 Vedloria ave, Chatham. Ond. Canada\nDate Dec. 9.14\nSignature\nNelen Young.\nThis blank is to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee\nto be forwarded with \"credentials\" (Forms Nos. 3 and 4) to the Chairman, National Committee on Red Cross Nursing Service, Washington, D.C."
}