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4-1-97
FORM 1082
PUBLIC HEALTH NURSING AND HOME HYGIENE
REV. 3-9-36
AND CARE OF THE SICK SERVICE
AMERICAN NATIONAL RED CROSS
credeofer
3
INSTRUCTOR'S APPLICATION
Please fill out this form and RETURN to Public Health Nursing and Home Hygiene and Care of
the Sick Service. Fill out each item in detail.
1. GENERAL INFORMATION:
-
Mary Alice Harris
No.622,77 ok,
Name in full
Red Cross Badge
H.D.
Box 197
Present address
Luverne,
Alabama
(STREET)
(CITY)
(STATE)
Present position
Crenshaw County health nurse
Date of birth 9-28-10
Race White
Citizenship Yès
Health Good
Single, married, separated, widowed or divorced? (Underline) If applying for a position
state your preference and limitation as to locality
2. NURSING EDUCATION:
Name of School of Nursing
Moody Hospital School of Nursing
Date of
Location Dothan, Alabama
Graduation 3-21-31
Registration Alabama - 1931
(STATE)
(YEAR)
Postgraduate work
4 mo. Lying-in Hospital and out department - obstetrical. - !35
(INCLUDING PUBLIC HEALTH COURSES)
(TYPES OF WORK)
(DATE)
3 mo. George Peabody College - Nursing department '36
Business course finished Campbell Business College '34
If not an enrolled Red Cross nurse, have application papers been submitted to the Local
Red Cross Nursing Committee? C.am-enrolled -
If so, when?
3. OTHER EDUCATION:
Diplomas and
Name and Location
Dates attending
degrees rec'd
High school or
equivalent
Graduate from Dothan High school
1923-1928
1928
Normal
College
Summer schools
3 months in fall of '36 in George Peabody Gollege. , Nashville
2
Special course in
principles of teaching
Did above course include practice teaching?
PLEASE ANSWER QUESTIONS ON REVERSE SIDE
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Context sent to Scholar
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"ocrText": "I\na\n4-1-97\nFORM 1082\nPUBLIC HEALTH NURSING AND HOME HYGIENE\nREV. 3-9-36\nAND CARE OF THE SICK SERVICE\nAMERICAN NATIONAL RED CROSS\ncredeofer\n3\nINSTRUCTOR'S APPLICATION\nPlease fill out this form and RETURN to Public Health Nursing and Home Hygiene and Care of\nthe Sick Service. Fill out each item in detail.\n1. GENERAL INFORMATION:\n-\nMary Alice Harris\nNo.622,77 ok,\nName in full\nRed Cross Badge\nH.D.\nBox 197\nPresent address\nLuverne,\nAlabama\n(STREET)\n(CITY)\n(STATE)\nPresent position\nCrenshaw County health nurse\nDate of birth 9-28-10\nRace White\nCitizenship Yès\nHealth Good\nSingle, married, separated, widowed or divorced? (Underline) If applying for a position\nstate your preference and limitation as to locality\n2. NURSING EDUCATION:\nName of School of Nursing\nMoody Hospital School of Nursing\nDate of\nLocation Dothan, Alabama\nGraduation 3-21-31\nRegistration Alabama - 1931\n(STATE)\n(YEAR)\nPostgraduate work\n4 mo. Lying-in Hospital and out department - obstetrical. - !35\n(INCLUDING PUBLIC HEALTH COURSES)\n(TYPES OF WORK)\n(DATE)\n3 mo. George Peabody College - Nursing department '36\nBusiness course finished Campbell Business College '34\nIf not an enrolled Red Cross nurse, have application papers been submitted to the Local\nRed Cross Nursing Committee? C.am-enrolled -\nIf so, when?\n3. OTHER EDUCATION:\nDiplomas and\nName and Location\nDates attending\ndegrees rec'd\nHigh school or\nequivalent\nGraduate from Dothan High school\n1923-1928\n1928\nNormal\nCollege\nSummer schools\n3 months in fall of '36 in George Peabody Gollege. , Nashville\n2\nSpecial course in\nprinciples of teaching\nDid above course include practice teaching?\nPLEASE ANSWER QUESTIONS ON REVERSE SIDE"
}