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    "label": "Brink, Alice Marion",
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    "id": "2661148",
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    "contentType": "document",
    "title": "Brink, Alice Marion",
    "citationUrl": "https://catalog.archives.gov/id/2661148",
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        "Records of the American National Red Cross",
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    "coverageEndDate": {
        "day": 16,
        "logicalDate": "1929-05-16",
        "month": 5,
        "year": 1929
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        "day": 24,
        "logicalDate": "1917-05-24",
        "month": 5,
        "year": 1917
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{
    "seq": 48,
    "pageIndex": 0,
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    "ocrText": "BB\nFORM NO. 1\nERICAN\n?\n5\nRT\nNURSING SERVICE\nTD\n1.\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nI.\nName of (applicant in full\nalue Warion Brink\nM\n2.\nAddress in full\nDate of birth Sept. 200 1885 Place of birth grand Puscricle\nBlodgett memorial H isjutal\nB\n3.\n4.\nAre you married, single or a widow?\nSingle\nHave you any physical defects or tendency to constitutional or pulmonary trouble?\nAre citizen no of the United States? Dyes\nyou a\nMary\n5.\n6. Name educational institutions attended before entering training school, stating number of years at each and from which you\nwere graduated\nBirblic School.\nI years. High School\nos:\nOccupation before entering training school\n8.\nFrom what hospital training school did you receive your diploma? Give location of hospital and date of graduation\n21 B a Hespital ground Rafide\nmay 29- 1913\n9.\nIf your training as a nurse was received in more than one hospital, give name, location and time spent in each\n11. Did your training include the care of men? Special?\nIO. Character of hospital: General? general\nPrivate?\nyes Contagious diseases? yes Obstetrics? yes\n12. Daily average number of patients in hospital during training\n50\nLength of course\nyrs\n13. Name and address of superintendent of training school under whom you received training\nof\nmiss I'm Banilt\n14. Of what nursing organizations are\nyou a member? mich State nurse's Cusodiat\n10n\n.\nuBa Gluman anso a ation\n15. Which, if any, is affiliated with the American Nurses Association?\n16. Give name and address of secretary of at least one of these organizations miss m Vanglin\n222 Henry are\nmuch\n1915\n1915\n.\n17. Are you a registered nurre? yes\nIn what state? new york Date of registration Sept A Hous\n18. State how, where and for what period of time, in each instance, you have been employed since graduation, including present\nemployment Bust graduate course 18 m Babie\nHospital new you B.g course 6 m. at\nSupervision Defis Blud g it\nhit Sinia New york C surgery\nmemmial Hosfital trinu april 20- - 1916\nR\n19. Should our country be involved in war, would you be available for active service?\nyes\n20. Would you be willing to take the oath of allegiance?\n21. What languages other than English do you speak?\nHolland\nyes\n22. Name and permanent address of nearest relative mus a Reitsema\n922 Virginia St grand Patricle mich\nDate may 2 y- 1917\nSignature liie m Strink\nThis blank is to be sent to applicant with circular letter Form 7, together with Form 11, and rules governing enrollment. After\napproval and endorsement by local Committee to be forwarded with \"credentials\" (Forms Nos. 3 and 4) together with Forms 10-11 to the\nChairman, National Committee on Red Cross Nursing Service, Washington, D. c.\nREQ. 16-511-JUNE-5000"
}