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Z I
ee
e
ar
I
E
C
N
O
May 24,1943
a
Badge No. 68,072
rlh
Form 1045
worma
Rev. Nov. 1942
AMERICAN RED CROSS
NURSING SERVICE
lettle
If you have changed your last name since
Trs.
M
contacting us, please check here.
Name in full HARWOOD Mellie Frances
Tel. No. G.1683
(last)
(first)
(middle)
F
If married, give maiden name Labrum
sanua
88010
Date of birth aug 29, 1914
N
Marital status
married
Husband's name Palmer Harwood
e
(single, married, widowed, divorced)
Permanent address
1445 (street) Gundment Hollyword (city) L.a
Probable address
(county)
California
-
(state)
for the next year
1445 (street) Gardment Hollywood (city) (county) La
e,
Calif
(state)
Give name and address of nearest relative or friend in United States:
(name) Labrum (relationship) (mother) 1445 Gardner (address) Rt, Naelyword Coly
Are you employed in nursing at the present time?
Yes
No
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
Public health
Cedar of Lebanon Hospital, Hollywood
Industrial
Private duty
Other (write in)
Government Service:
Army, Regular
Navy, Regular
Veterans Administration
Reserve
1
I Reserve
Children's Bureau
U.S.P.H. Service
U.S. Indian Service
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
of present employment
Supervision
General staff
Other (specify)
If not employed, what type of nursing would you prefer to render?
How many years did you attend HIGH SCHOOL?
One
Two
Three
Four
Graduated
Yes
No
Before entering training, how many years did you attend COLLEGE? one
Did you have a five-year course granting bachelor's degree? Mr.
AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-
Postgraduate course
in a hospital
1. A postgraduate course or experience in any of the following services? (at least 3 months)
Experience in hospital
(at least 6 months)
Communicable disease nursing (include tuberculosis)
Psychiatric nursing
Operating room
Anaesthesia
2. Have you had any courses in a college or university?
Less than
One
Two
Three
Four
Bachelor's
Master's
Ph.D.
M. D.
one academic year
year
years
years
years
degree
degree
degree
degree
In what major field was above study? Social science
6
3. Training and experience in the public health field: Postgraduate 4 months or more
NOTICE OF TRANSFER
Certificate
Degree
Experience 6 months
SENT. 11-13-43
Have you ever held a position as an air hostess?
Yes
No
How long?
mls
Have you ever had any other air experience?
Yes
No
Specify
0
(OVER)
J
2
Page data
- Page
- 16
- Source index
- 0
- Type
- photo
- Media ID
- 042bedc5f41b425d
- Size
- unknown
Document data
- ID
- 2661601
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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Page context
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