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Z I e a e <r I E C O III. EXPERIENCE N a 1. General experience (If necessary, use additional sheet for listing) Name & Address of Hospital or organization City and State Nature of Work Dates Person in Charge "ettle M Mills. College Infirmary Qakland, Calif. Staff 1937 Dr., Bancroft Stanford Palo Alto, Galif. Staff 1937-39. Mr.s. Atwood rs. for Children Stanford Children's Clinic S. F. Calif. Headnurse 1939-40 Miss E. Smith F Stanford Hospital S.an. Francisco, Calif. Asst.. Inst. of Sept-Tan 1941 Miss M. N Nursing Arts sept-ja - 1942 Pohe e - For teaching experience indicate: Elementary, Secondary, Normal, College, Nursing e, School or other. Chapter City and State Type Group Dates Red Cross Home Nursing (formerly Home Hygiene and Care of the Sick) IV. PROFESSIONAL STATUS Registered? yes Where? California To what professional organizations do you belong? Alumnae$, State, County, A.N.A. If not an enrolled Red Cross nurse, has your application for enrollment been submitted to your Local Committee on Red Cross Nursing Service? (Not Chapter Commitiee) When and to whom? V. EMPLOYMENT BASIS 1. Type of work preferred: Rural Urban X 2. Will you accept either? yes 3. What state or localities do you prefer? Hawaii: Hondlulu 4. When will you be available? immediately 5. Can you drive a car? no Do you own a car? 6. What dependents or family responsibilities do you have? pay. $15 monthly to family 7. Are your credentials filed with a placement service? Which? 8. Will you accept a temporary appointment? For six months? X For one year? X 9. Salary expected $90.00.- Maintenance & transportation 10. May we approach your present employer for references? yes 11. Do you have good health? yes 12. Have you had a recent physical examination? yes Remarks: to Inddo more asato Have just completed Fingt Aid Course Please attach a photograph of yourself taken within the past two years. nit base MOV evaH is blod Date 1-8-42 od Signature of Applicant (10V0)

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22
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0
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2661601
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