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    "label": "Boylston, Helen Dore",
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    "contentType": "document",
    "title": "Boylston, Helen Dore",
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    "coverageEndDate": {
        "day": 22,
        "logicalDate": "1973-02-22",
        "month": 2,
        "year": 1973
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        "logicalDate": "1920-01-19",
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    "seq": 38,
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    "ocrText": "D. M. R.1\nTHE AMERICAN RED CROSS\nDEPARTMENT OF NURSING\nApplication for Enrollment\n(To be filled out entirely in applicant's handwriting and each question answered fully)\n1. Name of applicant in full Helew Dore Boylstow\nTemporary 99 Commonurable avenue Boston, mari\n2. Address in full\nPermanent 39 Pleasant st Portsmouth n. A\nRace american Place of birth Portsmouth n.H\nI\n253. Date of birth april 4, 1894\nAre Birthplace you married, of fathero single Putbury or a widow? Single Mother Banger, Are you a me. citizen of the\nmass Citizenship of father american\n4.\nUnited States? yes\n5. Have you any physical defects or tendency to constitutional or pulmonary trouble? no\nAre you physically strong and healthy? yes\n6. How many years have you attended grammar school ? 8 High school\n4\nNormal school?\nPrivate school ?\nCollege? one If tutored privately, name subjects covered and length of time\n7. What languages other than English do you speak?\nFrench\n8. Occupation before entering training school none\n9.\nok\nFrom what hospital training school did you receive your diploma? massachusetts general\nCity\nand State Boston, mass.\nGive name at time of graduation Helen L are Boylstow\nDate of graduation april 05,1917\nass\n11. Did your training include obstetrics? yes Care of men yes Children? yes Contagious diseases hree ? no\n10. Character of hospital: General? yes\nSpecial ?\njes\nPrivate?\nyes\n12. Daily average number of patients in hospital during training 5.00\n13. Name and address of superintendent of training school under whom you received training miss vara\nLength of course 1 years\n& Parsons mass. general Hospital Bastow\n14.\nIf your training as a nurse was received in more than one hospital, give name, location and time spent in each--\nOf what nursing organizations are you a member? mass general alumnal\nLean Insani Hospital months luesson maternity yours\n15.\namerican state mussion asse\n16. Which, if any, is affiliated with the American Nurses Association?\nBoth\n17. Give name and address of secretary of at least one of these organizations miss minnes\nOK. 18. Are you a régistered nurse? yes In what state? mass. Date of 1917 Number Lost\nHallingsworth mass gen Hospeted Boston\n19. How and where employed since graduation:\nGive dates with months:\nName and address of employers:\nmass. gen. Hosp as\nJan-aug-1917\nHead nurse in learge\nlara E. Parsons. mess gen.\nHosp.\noverseas with Harvandmit\nof henereal Clinics -\nair 0,1967\nto\nHerbert H. white University Cress\nJan.8, 1918\nCambridge, mass\noperating asst to Dr.\ne.g Crabtree\naprill, 1919 to\nE. granville Crabtree\nPresent position)\ndate\n99commounealtle are. Boston\n20. Check services in which you are willing to serve and underscore one preferred.\n(a) War Service\n-\nWherever needed.\nMarine Hospitals\n(b) Public Health War Service: Sanitary Zones.\nWherever needed.\nPublic Health Nursing in Town and Country Nursing Service.\n21. Upon what date will you be available for service?\nW\n22. Are willing of allegiance?\n23. Name\n39 Cleasant St. Portsmouth n. H\nyou and permanent address of nearest relative yes DM Joseph Bagests of father)\nto take-the oath\nI\nDate\nSignature of nurse Helen Dore Boylston\n8\nTo the Committee:\nThis blank is to be sent to applicant with circular letter D. M. R. 7, together with Forms D. M. R. 2, 11, and A. R.\nC.\n9\n703.\nApplication forms (except of a nurse desiring to enroll for the Town and Country Nursing Service) after approval\nand\nendorsement by Local Committee, with credentials (Forms 3 and 4), together with Forms 10, 29 and 11, should be\nforwarded through the Director of the Bureau of Nursing in your Division Office to the Department of Nursing, American\nRed Cross, Washington, D. C.\nIn case the application forms of a nurse desiring to enroll for the Town and Country Nursing Service are sent to\nthe Local Committee, instead of to Washington as instructed, such forms should be forwarded at once to Washington by\nthe Local Committee, from whence credentials will be procured.\nNOTE.-Nurses who have had training or experience in Public Health Nursing will, in addition\nto the above, fill out questions 24 to 31 on reverse side of this blank."
}