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ORIGINAL
Form No. 200
soivise 16W ada ni anianos brosse 1976971 boold vd asvirsion Is to adt 21
bolloins doidw ni soivise TO dons
AMERICAN RED CROSS
231 to vos no
SERVICE APPLICATION FORM
Applicants for Nursing and Medical Service must accompany this form with special forms supplied by the Nursing Service and the Medical Service Bureaus
of the American Red Cross.
vas
ni
18W
ni
97697
These questions must be answered fully or the application will, not be acted upon.
Date March 1919.
amen 231 97612 noa 11
on imot
2. Permanent Address 137, N. 60th St. Berminah asm alabama
I.
Name in full Linna Hamilton Denny Telephone
No.
(State)
3. Temporary Address, if any, (Number to what and date. Street) Franklin somare (City) House
Boston,
mall
(Number and Street)
(City)
(State)
4. (a) If any changes of residence since August I, 1914, give these in full with dates. aminston, ala.
(b) your present profession Public Health Nursing
Co. Court House. Sep-11914 316-15-1919,
nedauit
91A
/
What is business or
Name of firm or corporation with which associated Instructive D. Nursing ason.
Duration of Service. One week.
Present Capacity observing work.
Business Address Hyde Park District Boston mass. (State)
5. Date of Birth 1870 March 30 (a) Place of birth Danville, Illinois
(Number and Street) jerlw 07 , (D) (City)
(b) (Year) when (Month) and where (Day) did arrive in the United States? gb rigisto? .0$
If of foreign birth, you
doso 10 nuoy to matxo 97632
6. If foreign born, give date and court of your naturalization
7. (a) Single, married widower. Single goods to (a) of Dependents
or
Number
(b) Full name of wife before marriage; or husband
c) Birthplace of wife or husband
Nationality of wife or husband
to baid (D) .SS
(d) Birthplace and nationality of father of wife or husband
nuov uox ob maw (d)
(e) Birthplace and nationality of mother of wife or husband
(f)
Full name of father alexander Jordan Denny, axe american vlial
(3)
(g)
Birthplace and nationality of father Winchester, Va.
boniupor storlw 10 uns nl (D) ingistot 19309 uoy bluow
(h) If father foreign born, naturalized,
whether when and where veilab bms yea 9V198 nov bluow As
bar yd thre bluoz HOY amaji 105db 3192 IIA as. 9V198 of oldsmu 31 (d)
(i) Full maiden name of mother Grene Xorisa Payne bet
22010
(j) Birthplace and nationality of mother Danville, Jee.
american
03 norg anivil nol sonswollA
(k) If mother foreign born, whether naturalized, when and where bas 101 10 sonswollA
bas 01 269279V0 not sonswollA
(1) Full name and nationality of paternal grandfather William milton Denny american
Janoms redw , ada ni nuov not trupshs sbem 22010 bell
doidw not muminiM (d) chow 911 sulsi blagoo zish (s) bollonts
(m) Full maiden name and nationality of paternal grandmother Linna Jordan, american
(n) Full name and nationality of maternal grandfather William Payne, american
(o) Full maiden name and nationality of maternal 1097100 grandmother Eliza 215 W glamilton american
8. (a) What previous business or experience have you had, stating nature, places and principal dates
thereof; the names of the firms or corporations with which you were associated
School Nurse. Birmingham ala- - 1910-1917 - Brand y Education
Resident Nurse, athens College, actiens, ala. 1909-1910. -
Supt. Leaning Schools Davis Intermanis and
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Document source extras
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"ocrText": "D\nORIGINAL\nForm No. 200\nsoivise 16W ada ni anianos brosse 1976971 boold vd asvirsion Is to adt 21\nbolloins doidw ni soivise TO dons\nAMERICAN RED CROSS\n231 to vos no\nSERVICE APPLICATION FORM\nApplicants for Nursing and Medical Service must accompany this form with special forms supplied by the Nursing Service and the Medical Service Bureaus\nof the American Red Cross.\nvas\nni\n18W\nni\n97697\nThese questions must be answered fully or the application will, not be acted upon.\nDate March 1919.\namen 231 97612 noa 11\non imot\n2. Permanent Address 137, N. 60th St. Berminah asm alabama\nI.\nName in full Linna Hamilton Denny Telephone\nNo.\n(State)\n3. Temporary Address, if any, (Number to what and date. Street) Franklin somare (City) House\nBoston,\nmall\n(Number and Street)\n(City)\n(State)\n4. (a) If any changes of residence since August I, 1914, give these in full with dates. aminston, ala.\n(b) your present profession Public Health Nursing\nCo. Court House. Sep-11914 316-15-1919,\nnedauit\n91A\n/\nWhat is business or\nName of firm or corporation with which associated Instructive D. Nursing ason.\nDuration of Service. One week.\nPresent Capacity observing work.\nBusiness Address Hyde Park District Boston mass. (State)\n5. Date of Birth 1870 March 30 (a) Place of birth Danville, Illinois\n(Number and Street) jerlw 07 , (D) (City)\n(b) (Year) when (Month) and where (Day) did arrive in the United States? gb rigisto? .0$\nIf of foreign birth, you\ndoso 10 nuoy to matxo 97632\n6. If foreign born, give date and court of your naturalization\n7. (a) Single, married widower. Single goods to (a) of Dependents\nor\nNumber\n(b) Full name of wife before marriage; or husband\nc) Birthplace of wife or husband\nNationality of wife or husband\nto baid (D) .SS\n(d) Birthplace and nationality of father of wife or husband\nnuov uox ob maw (d)\n(e) Birthplace and nationality of mother of wife or husband\n(f)\nFull name of father alexander Jordan Denny, axe american vlial\n(3)\n(g)\nBirthplace and nationality of father Winchester, Va.\nboniupor storlw 10 uns nl (D) ingistot 19309 uoy bluow\n(h) If father foreign born, naturalized,\nwhether when and where veilab bms yea 9V198 nov bluow As\nbar yd thre bluoz HOY amaji 105db 3192 IIA as. 9V198 of oldsmu 31 (d)\n(i) Full maiden name of mother Grene Xorisa Payne bet\n22010\n(j) Birthplace and nationality of mother Danville, Jee.\namerican\n03 norg anivil nol sonswollA\n(k) If mother foreign born, whether naturalized, when and where bas 101 10 sonswollA\nbas 01 269279V0 not sonswollA\n(1) Full name and nationality of paternal grandfather William milton Denny american\nJanoms redw , ada ni nuov not trupshs sbem 22010 bell\ndoidw not muminiM (d) chow 911 sulsi blagoo zish (s) bollonts\n(m) Full maiden name and nationality of paternal grandmother Linna Jordan, american\n(n) Full name and nationality of maternal grandfather William Payne, american\n(o) Full maiden name and nationality of maternal 1097100 grandmother Eliza 215 W glamilton american\n8. (a) What previous business or experience have you had, stating nature, places and principal dates\nthereof; the names of the firms or corporations with which you were associated\nSchool Nurse. Birmingham ala- - 1910-1917 - Brand y Education\nResident Nurse, athens College, actiens, ala. 1909-1910. -\nSupt. Leaning Schools Davis Intermanis and"
}