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March lartt NURSING SERVICE. APPLICATION FOR. ENROLLENT. (To be filled out entirely in applicant's handwriting and each question answered fully). 2. Address in full Street 37charles 1. Name of applicant in full Meary agnes marthy City. fondon of 28 3. Date of birth. Sept 91h. 1889 State. longland Place of birth 4. Are you married, single or a widow? single no / Are you a citizen of the United States? D 5. Have you any physical defects or tendency to 9 constitutional or pulmonary trouble no 5 Are you physically strong and healthy? you is 6. Name educational institutions attended before entering training school, stating number of years at each, &c from which you wwere graduated Dallygarris national school too mayo. 84ears Convent school 4 years 7. What languages other than English do you speak? none 8. before fived ab home. Occupation entering training school From what hospital training schagol did you receive your dip: oma? City May and state pennsylvania of 10. Character of hospital: General? yes Special? Private? yes 11. Did your training include obstetrics?. yus Children? yes. Contagious diseases? no. Care of men? you 12. Daily average number of patients in hospitals during training. 300 Length of course Three years, 13. Name and address of superintendent of training school under whom you received training M anna. E. taughtin Bryn mair Joundythania 14. If your training as a nurse was received in more than one hospital, give name, location and time spent in each 01125- Of what organizations are you a member? - - Jefferson. Hospital alumna: 16. Which, if any, is affiliated with the ,American Nurses Association? The Jefferson Hospital. 17. Give name and address of secretary of at least one of these organiza- tions Miss blara nilville gifferson Hospital. philadelphia

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    "ocrText": "March\nlartt\nNURSING SERVICE.\nAPPLICATION FOR. ENROLLENT.\n(To be filled out entirely in applicant's handwriting and each\nquestion answered fully).\n2. Address in full Street 37charles\n1. Name of applicant in full Meary agnes marthy\nCity. fondon\nof\n28\n3. Date of birth. Sept 91h. 1889\nState. longland\nPlace of birth\n4.\nAre you married, single or a widow? single\nno\n/\nAre you a citizen of the United States?\nD\n5. Have you any physical defects or tendency to\n9\nconstitutional or pulmonary trouble\nno\n5\nAre you physically strong and healthy?\nyou\nis\n6. Name educational institutions attended before entering training school,\nstating number of years at each, &c from which you wwere graduated\nDallygarris national school too mayo. 84ears\nConvent school\n4 years\n7. What languages other than English do you speak? none\n8. before fived ab home.\nOccupation entering training school\nFrom what hospital training schagol did you receive your dip: oma?\nCity May and state pennsylvania of\n10. Character of hospital: General? yes\nSpecial?\nPrivate? yes\n11. Did your training include obstetrics?. yus\nChildren? yes.\nContagious diseases? no.\nCare of men? you\n12. Daily average number of patients in hospitals during training. 300\nLength of course\nThree years,\n13. Name and address of superintendent of training school under whom you\nreceived training M anna. E. taughtin\nBryn mair Joundythania\n14. If your training as a nurse was received in more than one hospital,\ngive name, location and time spent in each\n01125- Of what organizations are you a member?\n-\n-\nJefferson. Hospital alumna:\n16. Which, if any, is affiliated with the ,American Nurses Association?\nThe Jefferson Hospital.\n17. Give name and address of secretary of at least one of these organiza-\ntions Miss blara nilville\ngifferson Hospital. philadelphia"
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