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B
ethe
Form 1045
Rev. Nov. 1941
AMERICAN RED CROSS
NURSING SERVICE
Name in full Bethel , (last) Mary (first) Hamilton
chief there U.S.N. Retired
Tel. No. -
(middle)
If married, give maiden name
1
Year of birth Jan 21-1890
Marital status
Single
-
Husband's name
I
(single, married, widowed divorced)
Permanent address Romney (street) Place. (city) Cape May (county) Court House, (state) Cape May Cot
Probable address
for the next year
see above
N.J.
(street)
(city)
(county)
(staté)
Give name and address of nearest relative or friend in United States:
Mrs (name) George Garretson (relationshib) (Sister) Cape may (address) Court House, N.J.
Are you employed in nursing at the present time? Yes
No
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
Public health
Industrial
Private duty
Other (write in)
Sl mer USN
Government Service: Army, Regular
Navy, Regular
Retired Veterans Administration
Reserve
Reserve
Children's Bureau
U.S.P.H. Service
U.S. Indian Service
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
of present employment
Supervision
General Staff
Other (specify)
How many years did you attend HIGH SCHOOL? One
Two
Three
Four
Graduated
Yes
No
SINCE GRADUATION FROM YOUR SCHOOL OF NURSING
have you ever had-
1. A postgraduate course or experience in any of the following special services?
Postgraduate course
Experience in hospital
in a hospital
or public health field
(at least 3 months)
(at least 6 months)
Communicable disease nursing (include Tbc)
Psychiatric Nursing
Operating room
So
Anaesthesia
Public health nursing
2. Have you taken any courses in a college or university?
Less than
One
Two
Three
Four
Bachelor's
Master's
P.H.D.
Certificate in
*one year
year
years
years
years
degree
degree
degree
Public Health
x
In
what major field was above study? Pey bology - Ground
arration
What languages, other than English, do you speak? Turkish Communication
* Academic year
(OVER)
Page data
- Page
- 56
- Source index
- 0
- Type
- photo
- Media ID
- 5fcfd0e144fa866e
- Size
- unknown
Document data
- ID
- 2661110
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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"ocrText": "B\nethe\nForm 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full Bethel , (last) Mary (first) Hamilton\nchief there U.S.N. Retired\nTel. No. -\n(middle)\nIf married, give maiden name\n1\nYear of birth Jan 21-1890\nMarital status\nSingle\n-\nHusband's name\nI\n(single, married, widowed divorced)\nPermanent address Romney (street) Place. (city) Cape May (county) Court House, (state) Cape May Cot\nProbable address\nfor the next year\nsee above\nN.J.\n(street)\n(city)\n(county)\n(staté)\nGive name and address of nearest relative or friend in United States:\nMrs (name) George Garretson (relationshib) (Sister) Cape may (address) Court House, N.J.\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nSl mer USN\nGovernment Service: Army, Regular\nNavy, Regular\nRetired Veterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nSINCE GRADUATION FROM YOUR SCHOOL OF NURSING\nhave you ever had-\n1. A postgraduate course or experience in any of the following special services?\nPostgraduate course\nExperience in hospital\nin a hospital\nor public health field\n(at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include Tbc)\nPsychiatric Nursing\nOperating room\nSo\nAnaesthesia\nPublic health nursing\n2. Have you taken any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nP.H.D.\nCertificate in\n*one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nx\nIn\nwhat major field was above study? Pey bology - Ground\narration\nWhat languages, other than English, do you speak? Turkish Communication\n* Academic year\n(OVER)"
}