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Harvard, LaVerna Fish

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I ar L Confidential FORM 1219 Please return COPT REV.JUNE 1942 1 AMERICAN RED CROSS File - APPLICATION FOR EMPLOYMENT - NURSING PERSONNEL I. PERSONAL Badge (No. 38820 L Name in full Miss Laverna Fish Harvard (H.D. (MISS OR MRS.) (IF MARRIED, GIVE MAIDEN NAME ALSO) Not enrolled Tel. No 7615 a Present address N.C. State College Infirmary Raleigh N. C. (STREET) (CITY) (STATE) L Permanent address 204 Church Street Dublin Ga. Tel. No (STREET) (CITY) (STATE) & Citizenship American Color White Place of birth Laurens Col. Ga. a Present position Head Nurse per Mo. $ 125.00 with Maintenancef birth Feb. 19, 1894 (TITLE) (SALARY) N. C. State College Infirmanry Raleigh N. C. Single Widowed (ORGANIZATION) (ADDRESS) Married Divorced F II. PROFESSIONAL STATUS States registered N. c. Ky. Georgia Current registration Georgia & North Carolina S To what professional organizations do you belong? Piedmont Alumnias Sixth District of N. C. 5 N. e . State. and American Nurses Assaciation If not an enrolled Red Cross nurse, has your application for enrollment been submitted to your Local Committee Red Cross Nursing Service? (NOT chapter committee) When and to whom? III. EDUCATION 1. Prior to entering school of nursing: Name City and State Dates Diploma-Degree Major High School Dublin High School Dublin. Ga. May 1911 Piploma Sciences Normal School Ga, State College for Woman Milledgeville Ga. May 1913 " Home Ec. University N. C. State College Raleigh, N.C. Feb. 1938 6 College Cr. Sociology Other 2. School of nursing from) Piedmont Hospital Atlanta, Ga. which you graduated) (NAME) (CITY) (STATE) Length of course 5 years 3 years (Specify other) Date completed Oct. 1920 3. Undergraduate affiliations: Hospital or Organization City and State Clinical Specialty No. Months (1) (2) (3) 4. Postgraduate clinical courses: (Do not include academic work or employment.) Hospital or Organization City and State Clinical Specialty Dates (1) N. Y. Hospital New York City Obstetrics Feb. 1936 (2) (3) W 5. Academic study since graduation from school of nursing: College or University City and State Academic years No. Points (1) N.C. State Colleg Baleigh N. C. 2. semestes 6..cr. (2) (3)

Page data

Page
34
Source index
0
Type
photo
Media ID
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Size
unknown

Document data

ID
2661600
Core
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Type
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    "ocrText": "I\nar\nL\nConfidential\nFORM 1219\nPlease return\nCOPT\nREV.JUNE 1942\n1\nAMERICAN RED CROSS\nFile\n-\nAPPLICATION FOR EMPLOYMENT - NURSING PERSONNEL\nI. PERSONAL\nBadge (No. 38820\nL\nName in full Miss Laverna Fish Harvard\n(H.D.\n(MISS OR MRS.)\n(IF MARRIED, GIVE MAIDEN NAME ALSO)\nNot enrolled\nTel. No\n7615\na\nPresent address N.C. State College Infirmary Raleigh N. C.\n(STREET)\n(CITY)\n(STATE)\nL\nPermanent address 204 Church Street Dublin Ga.\nTel. No\n(STREET)\n(CITY)\n(STATE)\n&\nCitizenship American\nColor White\nPlace of birth Laurens Col. Ga.\na\nPresent position Head Nurse per Mo. $ 125.00 with Maintenancef birth Feb. 19, 1894\n(TITLE)\n(SALARY)\nN. C. State College Infirmanry\nRaleigh N. C.\nSingle\nWidowed\n(ORGANIZATION)\n(ADDRESS)\nMarried\nDivorced\nF\nII. PROFESSIONAL STATUS\nStates registered N. c. Ky. Georgia\nCurrent registration Georgia & North Carolina\nS\nTo what professional organizations do you belong? Piedmont Alumnias Sixth District of N. C.\n5\nN. e . State. and American Nurses Assaciation\nIf not an enrolled Red Cross nurse, has your application for enrollment been submitted to\nyour Local Committee Red Cross Nursing Service? (NOT chapter committee)\nWhen and to whom?\nIII. EDUCATION\n1. Prior to entering school of nursing:\nName\nCity and State\nDates\nDiploma-Degree\nMajor\nHigh School Dublin High School\nDublin. Ga.\nMay 1911\nPiploma\nSciences\nNormal School Ga, State College for Woman Milledgeville Ga. May 1913 \"\nHome Ec.\nUniversity\nN. C. State College\nRaleigh, N.C. Feb. 1938 6 College Cr.\nSociology\nOther\n2. School of nursing from)\nPiedmont Hospital\nAtlanta, Ga.\nwhich you graduated)\n(NAME)\n(CITY)\n(STATE)\nLength of course\n5 years\n3 years\n(Specify other)\nDate completed Oct. 1920\n3. Undergraduate affiliations:\nHospital or Organization\nCity and State\nClinical Specialty No. Months\n(1)\n(2)\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. Y. Hospital\nNew York City\nObstetrics\nFeb. 1936\n(2)\n(3)\nW\n5. Academic study since graduation from school of nursing:\nCollege or University\nCity and State\nAcademic years\nNo. Points\n(1) N.C. State Colleg\nBaleigh N. C.\n2. semestes\n6..cr.\n(2)\n(3)"
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