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PUBLIC HEALTH NURSING AND HOME HYGIENE
FORM 1082
REV. 3-22-37
AND CARE OF THE SICK SERVICE
AMERICAN NATIONAL RED CROSS
9-26-38
File enrolleness
To: Mrs. Jessie Higgs
Dir. Home Hygiene
INSTRUCTOR'S APPLICATION
Please fill out this form and RETURN to Public Health Nursing and Home Hygiene and Care of
D
the Sick Service. Fill out each item in detail.
1. GENERAL INFORMATION:
and
ok
Mar
S
5
Name in full Mary Ann Sullivan
Red Cross Badge
No. 68,018
H.D.
Mass
C
Present
address 57 Fenwood Road
Boston
(CITY)
(STATE)
(STREET)
Present position
Instructor of Surgical Nursing Boston City Hospital
D
M
am 101606
Race White
Citizenship American Health Excellent
5
Date of birth \
rs,
Single, married, separated, widowed or divorced? (Underline) If applying for a position
5
state your preference and limitation as to locality - Boston No limitation
2. NURSING EDUCATION:
Name of School of Nursing Boston City Hospital School of Nursing
Date of
Location Boston, Mass.
Graduation
1928
Registration
(STATE)
(YEAR)
Administrative study - Children's Hospital, Boston, Mass.
Postgraduate work
(INCLUDING PUBLIC HEALTH COURSES)
(TYPES OF WORK)
(DATE)
International Training Cours-o for Loadors of the Handicapped; art
Bedford college, London, England
If not an enrolled Red Cross nurse, have application papers been submitted to the Local
Red Cross Nursing Committee?
To whom?
When?
Diplomas and
3. OTHER EDUCATION:
Name and location
Dates attending
degrees rec'd.
High school or
equivalent
Girlis Latin Schoal., Fenway., Boston
1924
Normal
B.S.
College Simmons College
Boston University - Studying for M. A.
Summer schools
6
principles of teaching Nursing Education - Simmons College Bos ton and
Special course in
Education I - Simmons College Bos ton
Did above course include practice teaching?
Yes
OCT 1 7 1940
PLEASE ANSWER QUESTIONS ON REVERSE SIDE
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"ocrText": "N\nB\n&\n16\nZ\nPUBLIC HEALTH NURSING AND HOME HYGIENE\nFORM 1082\nREV. 3-22-37\nAND CARE OF THE SICK SERVICE\nAMERICAN NATIONAL RED CROSS\n9-26-38\nFile enrolleness\nTo: Mrs. Jessie Higgs\nDir. Home Hygiene\nINSTRUCTOR'S APPLICATION\nPlease fill out this form and RETURN to Public Health Nursing and Home Hygiene and Care of\nD\nthe Sick Service. Fill out each item in detail.\n1. GENERAL INFORMATION:\nand\nok\nMar\nS\n5\nName in full Mary Ann Sullivan\nRed Cross Badge\nNo. 68,018\nH.D.\nMass\nC\nPresent\naddress 57 Fenwood Road\nBoston\n(CITY)\n(STATE)\n(STREET)\nPresent position\nInstructor of Surgical Nursing Boston City Hospital\nD\nM\nam 101606\nRace White\nCitizenship American Health Excellent\n5\nDate of birth \\\nrs,\nSingle, married, separated, widowed or divorced? (Underline) If applying for a position\n5\nstate your preference and limitation as to locality - Boston No limitation\n2. NURSING EDUCATION:\nName of School of Nursing Boston City Hospital School of Nursing\nDate of\nLocation Boston, Mass.\nGraduation\n1928\nRegistration\n(STATE)\n(YEAR)\nAdministrative study - Children's Hospital, Boston, Mass.\nPostgraduate work\n(INCLUDING PUBLIC HEALTH COURSES)\n(TYPES OF WORK)\n(DATE)\nInternational Training Cours-o for Loadors of the Handicapped; art\nBedford college, London, England\nIf not an enrolled Red Cross nurse, have application papers been submitted to the Local\nRed Cross Nursing Committee?\nTo whom?\nWhen?\nDiplomas and\n3. OTHER EDUCATION:\nName and location\nDates attending\ndegrees rec'd.\nHigh school or\nequivalent\nGirlis Latin Schoal., Fenway., Boston\n1924\nNormal\nB.S.\nCollege Simmons College\nBoston University - Studying for M. A.\nSummer schools\n6\nprinciples of teaching Nursing Education - Simmons College Bos ton and\nSpecial course in\nEducation I - Simmons College Bos ton\nDid above course include practice teaching?\nYes\nOCT 1 7 1940\nPLEASE ANSWER QUESTIONS ON REVERSE SIDE"
}