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I
C
K
Trans. from the Central to Pac. Div. Oct.21, 1921
Illinois.
Date
Registered in State of
(b
Languages spoken (underline those spoken fluently)
P.A.
Ayailable for service in event of war
yes 1926
If not, why?
a
a
Available for service in home community in time of emergency yes If not,
why?
F
e
19.
ON.
ENTERED
MONTHS COURSE AT
MONTH AND DAY
(NAME OF INSTITUTION)
5
COURSE COMPLETED ON
NATIONAL HEADQUARTERS.
COURSE TAKEN ON SCHOLARSHIP LOAN PAID FOR FROM
19
CHAPTER FUNDS.
(MONTH AND DAY)
NAME
SERVICE RECORD
SERVICE TERMINATED
APPOINTED
RESIGNED
REASON
SALARY
TRANS-
DATE
TRANSFERRED
DATE
NAME OF SERVICE
ADDRESS OF NURSE
PORTATION
OR DISMISSED
Overseas Service
6/6/19Grade 1
Public health, Morence, Arizona AA.R.C.
5/8/2006647/2285 ine work
better position
How and where employed since graduation
Give dates with months
Name and address of employers
Private Nurse
May-July 1916
Head Nurse
From July 20, 1916
Check any of following in which experience has been had and time in each:
General visiting nursing
Municipal nursing
Infant welfare nursing
Industrial nursing
Tuberculosis nursing
Social service nursing
Other
School nursing:
Special course in public health nursing or social service work, state where, and between what dates:
Preference as to locality
Kind of work desired
5
Salary desired
Religion
Health excellent 1926
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"ocrText": "I\nC\nK\nTrans. from the Central to Pac. Div. Oct.21, 1921\nIllinois.\nDate\nRegistered in State of\n(b\nLanguages spoken (underline those spoken fluently)\nP.A.\nAyailable for service in event of war\nyes 1926\nIf not, why?\na\na\nAvailable for service in home community in time of emergency yes If not,\nwhy?\nF\ne\n19.\nON.\nENTERED\nMONTHS COURSE AT\nMONTH AND DAY\n(NAME OF INSTITUTION)\n5\nCOURSE COMPLETED ON\nNATIONAL HEADQUARTERS.\nCOURSE TAKEN ON SCHOLARSHIP LOAN PAID FOR FROM\n19\nCHAPTER FUNDS.\n(MONTH AND DAY)\nNAME\nSERVICE RECORD\nSERVICE TERMINATED\nAPPOINTED\nRESIGNED\nREASON\nSALARY\nTRANS-\nDATE\nTRANSFERRED\nDATE\nNAME OF SERVICE\nADDRESS OF NURSE\nPORTATION\nOR DISMISSED\nOverseas Service\n6/6/19Grade 1\nPublic health, Morence, Arizona AA.R.C.\n5/8/2006647/2285 ine work\nbetter position\nHow and where employed since graduation\nGive dates with months\nName and address of employers\nPrivate Nurse\nMay-July 1916\nHead Nurse\nFrom July 20, 1916\nCheck any of following in which experience has been had and time in each:\nGeneral visiting nursing\nMunicipal nursing\nInfant welfare nursing\nIndustrial nursing\nTuberculosis nursing\nSocial service nursing\nOther\nSchool nursing:\nSpecial course in public health nursing or social service work, state where, and between what dates:\nPreference as to locality\nKind of work desired\n5\nSalary desired\nReligion\nHealth excellent 1926"
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