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FORM 22
APPLICATION FOR ADMISSION TO TEACHER TRAINING COURSE
REV. 3-12-37
FOR INSTRUCTORS IN HOME HYGIENE AND CARE OF THE SICK
1938 WINTER QUARTER
PLEASE FILL IN ALL ITEMS COMPLETELY TO AVOID DELAY.
For which College or University are you applying
Peabody. College
Name in full
Linnie Beauchamp
Red Cross Badge
No.
30,382
H.D.
Address
2106 N. Van Buren, Little Rock, Arkansas
Date of birth
4-23-92
Race white Single yes
Married
(PLEASE CHECK)
NURSINC EDUCATION:
Memphis Training School for Nurses,
School of nursing Maury & Ellett Infirmary, Memphis, Tenn.
(NAME)
(LOCATION)
Date of graduation
June 1912
Registration
Arkansas
(STATE)
If not an enrolled Red Cross nurse, have application papers been submitted to Local Red
Cross Nursing Committee?
Date
OTHER EDUCATION:
Diplomas and
Name and location
Dates attending
degrees rec'd.
High school
or equivalent
Forrest City, Ark.
diploma
Normal school
College
Summer schools
(INDICATE IF COURSE IN PUBLIC HEALTH NURSING)
As College work, have you had any of the following courses? If so, check.
Bacteriology
Epidemiology
yes
Principles and Practices of
Economics
Nutrition
yes
Public Health Nursing x
(LIST COURSES)
Psychology
yes
Public Speaking part of comse
Biology
(LIST COURSES)
Social Case Work
yes
Public Health Adm.
Sociology yes
Education Teaching Methods
(LIST COURSES)
(LIST COURSES)
Supervision
Other related courses:
1.
2.
3.
TEACHING EXPERIENCE: Give inclusive dates in all instances.
Elementary schools
High schools
Colleges
Hospital schools of nursing
Red Cross Home Hygiene and Care of the Sick Adult and High schools
(WHAT TYPE GROUPS)
Other teaching experience
First Aid classes - Red Cross Chapters
PLEASE SEE OTHER SIDE
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"ocrText": "FORM 22\nAPPLICATION FOR ADMISSION TO TEACHER TRAINING COURSE\nREV. 3-12-37\nFOR INSTRUCTORS IN HOME HYGIENE AND CARE OF THE SICK\n1938 WINTER QUARTER\nPLEASE FILL IN ALL ITEMS COMPLETELY TO AVOID DELAY.\nFor which College or University are you applying\nPeabody. College\nName in full\nLinnie Beauchamp\nRed Cross Badge\nNo.\n30,382\nH.D.\nAddress\n2106 N. Van Buren, Little Rock, Arkansas\nDate of birth\n4-23-92\nRace white Single yes\nMarried\n(PLEASE CHECK)\nNURSINC EDUCATION:\nMemphis Training School for Nurses,\nSchool of nursing Maury & Ellett Infirmary, Memphis, Tenn.\n(NAME)\n(LOCATION)\nDate of graduation\nJune 1912\nRegistration\nArkansas\n(STATE)\nIf not an enrolled Red Cross nurse, have application papers been submitted to Local Red\nCross Nursing Committee?\nDate\nOTHER EDUCATION:\nDiplomas and\nName and location\nDates attending\ndegrees rec'd.\nHigh school\nor equivalent\nForrest City, Ark.\ndiploma\nNormal school\nCollege\nSummer schools\n(INDICATE IF COURSE IN PUBLIC HEALTH NURSING)\nAs College work, have you had any of the following courses? If so, check.\nBacteriology\nEpidemiology\nyes\nPrinciples and Practices of\nEconomics\nNutrition\nyes\nPublic Health Nursing x\n(LIST COURSES)\nPsychology\nyes\nPublic Speaking part of comse\nBiology\n(LIST COURSES)\nSocial Case Work\nyes\nPublic Health Adm.\nSociology yes\nEducation Teaching Methods\n(LIST COURSES)\n(LIST COURSES)\nSupervision\nOther related courses:\n1.\n2.\n3.\nTEACHING EXPERIENCE: Give inclusive dates in all instances.\nElementary schools\nHigh schools\nColleges\nHospital schools of nursing\nRed Cross Home Hygiene and Care of the Sick Adult and High schools\n(WHAT TYPE GROUPS)\nOther teaching experience\nFirst Aid classes - Red Cross Chapters\nPLEASE SEE OTHER SIDE"
}