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No. 1 AMERICAN RED CROSS NURSING SERVICE APPLICATION FOR ENROLLMENT (To be filled out entirely in applicant's handwriting) Name Badge of applicant this 720 Nathleen F. D' Aher Number 1. 2. Address in full 3.9.2 Clay Ave, Rochester New york 3. Date of birth June 4th,1883 Place of birth London Cdnada 4. Are you married, single, widow ? Single or a 6. Have you any physical defects? So 5. Are you a citizen of the United States? Have taken out first naturalization per 7. Education and occupation before entering Training School High School 9. normal School 8. From what Training School did you graduate? Rochester City Hospital brow Teaching for short period The Pochester. General Hospital Transing School 10. How many beds in hospital at time of graduation? about 150 9. Character of hospital : General?. General Special? Private? 11. Date of graduation July 1907 Length of course 3.years. 12. Name and address of Superintendent of Training School under whom you were trained Ink bury of with Rochester General Hospital Rochester 13. Of what nursing organization are you a member? Alumni Aiser Roch General Hosp. Inomar Country Registried surses. 14. Give name and address of Secretary 1st Garis Land R. & had mife lyng Smith R.M. Bath hir at the Guideral Hospital Richisles 15. Are you a registered nurse? yes In what State? new york Date of registration June 1907 16. How and where have you been employed since graduation? Give information for each year 1909-1910 Liberculosis indestigator Rochestin Pittie Health am 1907-1908 Private runsing 1971 Health Suire -Among prignati women T takies 17. Name and permanent address of nearest relative Date man April 3-0-1916 J. g. O. D' lhin Egg 392 Clay Air Rochester Signature E Nathleen F D Olien This blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to be forwarded with "credentials" (Form Nos. 3 and 4), to the Chairman National Committee on Red Cross Nursing Service, Washington, D.C.

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    "ocrText": "No. 1\nAMERICAN RED CROSS\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nName Badge of applicant this 720 Nathleen F. D' Aher\nNumber\n1.\n2. Address in full\n3.9.2 Clay Ave, Rochester New york\n3. Date of birth June 4th,1883\nPlace of birth London Cdnada\n4. Are you married, single, widow ? Single\nor a\n6. Have you any physical defects? So\n5. Are you a citizen of the United States? Have taken out first naturalization per\n7. Education and occupation before entering Training School High School 9. normal School\n8. From what Training School did you graduate? Rochester City Hospital brow\nTeaching for short period\nThe Pochester. General Hospital Transing School\n10. How many beds in hospital at time of graduation? about 150\n9. Character of hospital : General?. General Special?\nPrivate?\n11. Date of graduation July 1907 Length of course 3.years.\n12. Name and address of Superintendent of Training School under whom you were trained\nInk bury of with Rochester General Hospital Rochester\n13.\nOf what nursing organization are you a member? Alumni Aiser Roch General Hosp.\nInomar Country Registried surses.\n14.\nGive\nname\nand\naddress\nof\nSecretary 1st Garis Land R. & had mife lyng Smith R.M.\nBath hir at the Guideral Hospital Richisles\n15. Are you a registered nurse? yes In what State? new york Date of registration June 1907\n16. How and where have you been employed since graduation? Give information for each year\n1909-1910 Liberculosis indestigator Rochestin Pittie Health am\n1907-1908 Private runsing\n1971 Health Suire -Among prignati women T takies\n17. Name and permanent address of nearest relative\nDate man April 3-0-1916\nJ. g. O. D' lhin Egg 392 Clay Air Rochester\nSignature E Nathleen F D Olien\nThis blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to be forwarded with \"credentials\"\n(Form Nos. 3 and 4), to the Chairman National Committee on Red Cross Nursing Service, Washington, D.C."
}