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Ports Rico Form 1082 AMERICAN RED CROSS $1AFF 15457 6-30-22 D I V. I. S I ONN. Enel HOME HYGIENE AND CARE OF THE SICK APPLICATION FOR INSTRUCTOR RESD. Please fill out this form To. the Prov. for and RETURN TO Director of Instruction in Home Hygiene and Care of the Sick Washington Division Washington, D. C. RECEIVED NAME IN FULL d'olier Gingine Surname Wethleen first) Frances Enrollment MAR 12 1923 No. 7.2 Badge ADDRESS 40lympo No. & Street) San Juan (State) Porto INSTILAR Rico TELEPHONE NO. 413 Verde, S.J. ENROLLED attantic (Division) REGISTERED new (State) york RELIGION Pomou Linkshi DATE OF BIRTH June 4th 1883 RACE Canadian ARE YOU MARRIED, SINGLE OR A WIDOW? Single HAVE YOU ANY PHYSICAL DEFECTS? Wo IS YOUR GENERAL HEALTH GOOD? HOW MANY YEARS HAVE YOU ATTENDED GRAMMAR SCHOOL? yrs 9 HIGH SCHOOL? 4 NORMAL SCHOOL? Packed there PRIVATE SCHOOL? COLLEGE? WHAT LANGUAGES OTHER THAN ENGLISH DO YOU SPEAK? (Underline none fluently of completing Rochesfer n.y. those which you fluently) TRAINING SCHOOL General NO. OF BEDS about 150 DATE OF GRADUATION 1907 CHARACTER OF HOSPITAL: GENERAL? graved SPECIAL? PRIVATE? DID YOUR TRAINING INCLUDE OBSTETRICS? yrs CHILDREN? yrs. CONTAGIOUS DISEASES? no GIVE NAME AT TIME OF GRADUATION same as abon. HAVE YOU HAD ANY SPECIAL COURSE IN TEACHING? no. LENGTH OF COURSE SCHOOL WHAT EXPERIENCE HAVE YOU HAD IN TEACHING? PUBLIC SCHOOLS? PRIVATE SCHOOLS? Summer School /children) Normal Practice School HOSPITAL TRAINING SCHOOLS? OTHER TEACHING EXPERIENCE Class in first aid in Gineses n.y. flan in Puthi Health messing GIVE NAMES AND ADDRESSES OF YOUR HOSPITAL SUPERINTENDENT AND TWO FORMER EMPLOYERS San June class for helpers whens truce the PRESENT POSITION? Director Putlif Health mining Chaptin a. R.C. Miss Mary L. with Greened Hosp Rochester Health Officer Richeaten WHEN WOULD YOU BE AVAILABLE? DATE 2-3-23. SIGNATURE Mallen d'Oher

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Context sent to Scholar

Document identity
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Document source extras
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Page context
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    "ocrText": "Ports Rico\nForm 1082\nAMERICAN RED CROSS\n$1AFF 15457\n6-30-22\nD I V. I. S I ONN. Enel\nHOME HYGIENE AND CARE OF THE SICK\nAPPLICATION FOR INSTRUCTOR\nRESD.\nPlease fill out this form\nTo.\nthe\nProv. for\nand RETURN TO\nDirector of Instruction in Home Hygiene and Care of the Sick\nWashington\nDivision\nWashington, D. C.\nRECEIVED\nNAME IN FULL d'olier Gingine Surname Wethleen first) Frances Enrollment\nMAR 12 1923\nNo.\n7.2 Badge\nADDRESS 40lympo No. & Street) San Juan (State) Porto INSTILAR\nRico\nTELEPHONE NO. 413 Verde, S.J.\nENROLLED attantic\n(Division)\nREGISTERED new (State) york RELIGION Pomou Linkshi\nDATE OF BIRTH June 4th 1883\nRACE Canadian\nARE YOU MARRIED, SINGLE OR A WIDOW?\nSingle\nHAVE YOU ANY PHYSICAL DEFECTS?\nWo\nIS YOUR GENERAL HEALTH GOOD?\nHOW MANY YEARS HAVE YOU ATTENDED GRAMMAR SCHOOL?\nyrs\n9\nHIGH SCHOOL? 4\nNORMAL SCHOOL? Packed there\nPRIVATE\nSCHOOL?\nCOLLEGE?\nWHAT LANGUAGES OTHER THAN ENGLISH DO YOU SPEAK? (Underline none fluently\nof completing\nRochesfer n.y.\nthose which you fluently)\nTRAINING SCHOOL General NO. OF BEDS about 150 DATE OF GRADUATION 1907\nCHARACTER OF HOSPITAL: GENERAL? graved SPECIAL?\nPRIVATE?\nDID YOUR TRAINING INCLUDE OBSTETRICS? yrs CHILDREN? yrs. CONTAGIOUS DISEASES? no\nGIVE NAME AT TIME OF GRADUATION same as abon.\nHAVE YOU HAD ANY SPECIAL COURSE IN TEACHING? no.\nLENGTH OF COURSE\nSCHOOL\nWHAT EXPERIENCE HAVE YOU HAD IN TEACHING?\nPUBLIC SCHOOLS?\nPRIVATE SCHOOLS? Summer School /children) Normal Practice School\nHOSPITAL TRAINING SCHOOLS?\nOTHER TEACHING EXPERIENCE Class in first aid in Gineses n.y. flan in Puthi Health messing\nGIVE NAMES AND ADDRESSES OF YOUR HOSPITAL SUPERINTENDENT AND TWO FORMER EMPLOYERS\nSan June class for helpers whens truce the\nPRESENT POSITION? Director Putlif Health mining Chaptin a. R.C.\nMiss Mary L. with Greened Hosp Rochester Health Officer Richeaten\nWHEN WOULD YOU BE AVAILABLE?\nDATE 2-3-23.\nSIGNATURE Mallen d'Oher"
}