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a
attack
No. 1
AMERICAN RED CROSS
Jan
M
NURSING SERVICE
APPLICATION FOR ENROLLMENT
(To be filled out entirely in applicant's handwriting)
Name of applicant Drarel Florence Catamin
F.
1.
Badge Number
2. Address in full Desrun Cleb 420 w. 11.6th ever Yark
F
3.
Date of birth april 11th 1888 Place of birth New york
ci
4. Are you married, single or a widow?
Are you a citizen of the United States?
5. Have you any physical defects?
N.A.
6. School home
Occupation before entering Training
7. From what Training School did you graduate Italian Teaning Hospital may 19.19.09
8. Give location of Training School
169-171-1731 W: Thouston
Now building East Mia
9. Character of hospital: General Special ?
Private
Fail
10. How beds at time of graduation ? Length of course
11. Name and address of Superintendent of Training School under whom you were trained
many 100 years. and 2. months
f.
miss Florence S wryht none donot know address
12. Of what nursing organizations are you a member
13. Give name and address of Secretary
14. Are you a registered nurse yes, In what State ? Date of registration. 19.11.
15. How and where have you been employed since graduation? Give information for each year
Was employed at Health. officers department al
guarantane, during the home I chlorea no staly
fastifuly unbull 19'11. - and have Reen
doing private nursing since
16. In the event of war are to take the oath of
17. Name and permanent address of nearest relative have no relatives. but
you willing required allegiance? yes
neared friend Dr. Catherins P. Kelley 1204 neynt Beverly Road
5
Date : November 7/12
Signature maris I' Catania
5
This blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to
forwarded with 'credentials" (Forms Nos. 3 and 4) to the Chairman, National Committee on Red Cross Nursing Service, Washington, D.C.
3
be
of
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"ocrText": "a\nattack\nNo. 1\nAMERICAN RED CROSS\nJan\nM\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nName of applicant Drarel Florence Catamin\nF.\n1.\nBadge Number\n2. Address in full Desrun Cleb 420 w. 11.6th ever Yark\nF\n3.\nDate of birth april 11th 1888 Place of birth New york\nci\n4. Are you married, single or a widow?\nAre you a citizen of the United States?\n5. Have you any physical defects?\nN.A.\n6. School home\nOccupation before entering Training\n7. From what Training School did you graduate Italian Teaning Hospital may 19.19.09\n8. Give location of Training School\n169-171-1731 W: Thouston\nNow building East Mia\n9. Character of hospital: General Special ?\nPrivate\nFail\n10. How beds at time of graduation ? Length of course\n11. Name and address of Superintendent of Training School under whom you were trained\nmany 100 years. and 2. months\nf.\nmiss Florence S wryht none donot know address\n12. Of what nursing organizations are you a member\n13. Give name and address of Secretary\n14. Are you a registered nurse yes, In what State ? Date of registration. 19.11.\n15. How and where have you been employed since graduation? Give information for each year\nWas employed at Health. officers department al\nguarantane, during the home I chlorea no staly\nfastifuly unbull 19'11. - and have Reen\ndoing private nursing since\n16. In the event of war are to take the oath of\n17. Name and permanent address of nearest relative have no relatives. but\nyou willing required allegiance? yes\nneared friend Dr. Catherins P. Kelley 1204 neynt Beverly Road\n5\nDate : November 7/12\nSignature maris I' Catania\n5\nThis blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to\nforwarded with 'credentials\" (Forms Nos. 3 and 4) to the Chairman, National Committee on Red Cross Nursing Service, Washington, D.C.\n3\nbe\nof"
}