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-
-
+
IN
ni
Form 1244
Rev. 12-7-37
LITTA
THE AMERICAN RED CROSS
WASHINGTON, D. c.
M
10
NURSING SERVICE
a
CREDENTIAL FROM SCHOOL OF NURSING
1. Name of applicant marion Biltzy
!
2. Name of School of Nursing St. Joseph
Location
Mishawaka, Indiana
3. Date of graduation Sept. 8, 1936 3 years
Length of course
4. Daily average number of patients in hospital during applicant's training 65 plus
5. Character of hospital: General yes Special
L
Private
6. Did the include
training obstetrics? yes
Care of men ? yes
Pediatrics?
yes
Contagious diseases' ? If accasion arrived
ra
7. If course included training or experience in public health nursing state for what length of time and with
what agency no
5
a
8. Was entire course of nursing given in above School of Nursing? yes
If affiliated, fill in the other side of this form.
9. a. What administrative duties or responsibilities did applicant have?
Only that of a senior student
b. What teaching experience?
none.
10. What was her record in regard to the following:
Work ? Good
Health: Excellent Conduct? Good
11. What can you say relative to her-
Personality ? Pleasing Neatness? average Refinement? Very good
marked
marked
12. Was she employed in your hospital after 'graduation ? University)
Initiative? Executive no ability? (attending
13. Does her standing since graduation warrant you to recommend her for Red Cross Service? yes
Remarks:
soivin? gniziuM 28013
se
cant illinois
agnes L Calline BS, R.M.
Present Director of School of Nursing.
Graduate of. St Francid School of nursing
Name and address of Director of School of Nursing under whom the applicant was trained:
Sister m. Vitalic BS, R.n.
Date. april 11, ofldag 1938 Gasey, Indian
The above information will be considered confidential.
This blank is to be sent to the Director of the School of Nursing from which applicant graduated, with
circular letter concerning same.
(OVER)
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"ocrText": "B\n-\n-\n+\nIN\nni\nForm 1244\nRev. 12-7-37\nLITTA\nTHE AMERICAN RED CROSS\nWASHINGTON, D. c.\nM\n10\nNURSING SERVICE\na\nCREDENTIAL FROM SCHOOL OF NURSING\n1. Name of applicant marion Biltzy\n!\n2. Name of School of Nursing St. Joseph\nLocation\nMishawaka, Indiana\n3. Date of graduation Sept. 8, 1936 3 years\nLength of course\n4. Daily average number of patients in hospital during applicant's training 65 plus\n5. Character of hospital: General yes Special\nL\nPrivate\n6. Did the include\ntraining obstetrics? yes\nCare of men ? yes\nPediatrics?\nyes\nContagious diseases' ? If accasion arrived\nra\n7. If course included training or experience in public health nursing state for what length of time and with\nwhat agency no\n5\na\n8. Was entire course of nursing given in above School of Nursing? yes\nIf affiliated, fill in the other side of this form.\n9. a. What administrative duties or responsibilities did applicant have?\nOnly that of a senior student\nb. What teaching experience?\nnone.\n10. What was her record in regard to the following:\nWork ? Good\nHealth: Excellent Conduct? Good\n11. What can you say relative to her-\nPersonality ? Pleasing Neatness? average Refinement? Very good\nmarked\nmarked\n12. Was she employed in your hospital after 'graduation ? University)\nInitiative? Executive no ability? (attending\n13. Does her standing since graduation warrant you to recommend her for Red Cross Service? yes\nRemarks:\nsoivin? gniziuM 28013\nse\ncant illinois\nagnes L Calline BS, R.M.\nPresent Director of School of Nursing.\nGraduate of. St Francid School of nursing\nName and address of Director of School of Nursing under whom the applicant was trained:\nSister m. Vitalic BS, R.n.\nDate. april 11, ofldag 1938 Gasey, Indian\nThe above information will be considered confidential.\nThis blank is to be sent to the Director of the School of Nursing from which applicant graduated, with\ncircular letter concerning same.\n(OVER)"
}