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I
Confidential
FORM 1219
Please return
REV. JAN. 1943
AMERICAN RED CROSS
APPLICATION FOR EMPLOYMENT - NURSING PERSONNEL
I. PERSONAL
Name
in full Miss Elizabeth Arabelle Dish
Badge (No 91822
(H.D.
(MISS OR MRS,)
(IF MARRIED. GIVE MAIDEN NAME ALSO)
Not enrolled
a
Present address George (STREET) Mason (CITY) Hotel Alexandria, Tel. No al-2000
1
STATE'V A
b
Permanent address Broad St Eyt HellaM, teNNa, Tel. No.
e
(STREET)
(CITY)
(STATE)
Citizenship USA
Color White
Place of birth Penny laania
+
5
Present (TITLE) Csst to Director- Monya (SALARY)
Home Nur
Date of birth July 5 1911
American Red Cross Southeastern SING Area
Single
Widowed
(ORGANIZATION)
(ADDRESS)
Married
Divorced
D
II. PROFESSIONAL STATUS
7
States registered
Ta what professional Inspital NLNE State nurses Gas'n
Pening organizati leanin ons do you belong? Current registratio alongyou
a
5
ANA 50PHN, PSSINE
6
If not an enrolled Red Cross nurse, have you applied for enrollment?
/
When?
To whom?
-
a
III. EDUCATION
1.. Prior to entering school of nursing:
Name
High School Hella M
City and State Dates Diploma-Degree - Major
HellaM, P.
1925-28
347
Course
Normal School
why ftsulle P.T.S.
waythanth P.192821 year 1 Dilike
University
Other
2. School which of you nursing graduated) from) Wethodist (NAME) allegated Phila (CITY)
Penna
(STATE)
Length of course
5 years
3 years
Specify other)
Date completed 1933
3. Undergraduate affiliations:
Hospital ar Organization
City and State
Clinical Specialty
No. Months
(2) (1) writing Nurse Cerronation
Phila Pa
BNN
2
(3)
4. Postgraduate clinical courses: (Do not include academic work or employment.)
Hospital or Organization
City and State
Clinical Specialty
Dates
(1)
(2)
(3)
5. Academic study since graduation from school of nursing:
College or University
City and State
Academic years
No. Points
(1) (2) Universit of Penney lania
Phila ta
126
(3)
time eapart
8
u
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"ocrText": "I\nConfidential\nFORM 1219\nPlease return\nREV. JAN. 1943\nAMERICAN RED CROSS\nAPPLICATION FOR EMPLOYMENT - NURSING PERSONNEL\nI. PERSONAL\nName\nin full Miss Elizabeth Arabelle Dish\nBadge (No 91822\n(H.D.\n(MISS OR MRS,)\n(IF MARRIED. GIVE MAIDEN NAME ALSO)\nNot enrolled\na\nPresent address George (STREET) Mason (CITY) Hotel Alexandria, Tel. No al-2000\n1\nSTATE'V A\nb\nPermanent address Broad St Eyt HellaM, teNNa, Tel. No.\ne\n(STREET)\n(CITY)\n(STATE)\nCitizenship USA\nColor White\nPlace of birth Penny laania\n+\n5\nPresent (TITLE) Csst to Director- Monya (SALARY)\nHome Nur\nDate of birth July 5 1911\nAmerican Red Cross Southeastern SING Area\nSingle\nWidowed\n(ORGANIZATION)\n(ADDRESS)\nMarried\nDivorced\nD\nII. PROFESSIONAL STATUS\n7\nStates registered\nTa what professional Inspital NLNE State nurses Gas'n\nPening organizati leanin ons do you belong? Current registratio alongyou\na\n5\nANA 50PHN, PSSINE\n6\nIf not an enrolled Red Cross nurse, have you applied for enrollment?\n/\nWhen?\nTo whom?\n-\na\nIII. EDUCATION\n1.. Prior to entering school of nursing:\nName\nHigh School Hella M\nCity and State Dates Diploma-Degree - Major\nHellaM, P.\n1925-28\n347\nCourse\nNormal School\nwhy ftsulle P.T.S.\nwaythanth P.192821 year 1 Dilike\nUniversity\nOther\n2. School which of you nursing graduated) from) Wethodist (NAME) allegated Phila (CITY)\nPenna\n(STATE)\nLength of course\n5 years\n3 years\nSpecify other)\nDate completed 1933\n3. Undergraduate affiliations:\nHospital ar Organization\nCity and State\nClinical Specialty\nNo. Months\n(2) (1) writing Nurse Cerronation\nPhila Pa\nBNN\n2\n(3)\n4. Postgraduate clinical courses: (Do not include academic work or employment.)\nHospital or Organization\nCity and State\nClinical Specialty\nDates\n(1)\n(2)\n(3)\n5. Academic study since graduation from school of nursing:\nCollege or University\nCity and State\nAcademic years\nNo. Points\n(1) (2) Universit of Penney lania\nPhila ta\n126\n(3)\ntime eapart\n8\nu"
}