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Chevron DMR1 THE AMERICAN RED CROSS I NURSING SERVICE Application for Enrollment e. (To be filled out entirely in applicant's handwriting and each question answered fully) I. Name of applicant in full Cora FlorRie Hobein 2. Address in full, Street siling City Hunani State. China 0 3. Date of birth Jani9,1884 Place of birth 34 4. Are you married, single or a widow? S ingle 5. Have you any physical defects or tendency to constitutional or pulmonary trouble? not that I know of Are you a citizen of the United States? yes Are you physically strong and healthy? yes 6. Name educational institutions attended before entering training school, stating number of years at each and from which you F graduated Public school near is arren grow all Tenovelissn years - were moody Bible Institute, Two years 0 7. What languages other than English do you speak? S one german and Chinese. S 8. Occupation before entering training school siring at home S 9. From what hospital training school did you receive your diploma? I llinois Training School - City and state Chicago, Illinois Date of graduation 1914 e IO. Character of hospital: General? yes II. Did your training include obstetrics? yes Care of men? yes Children? yes Contagious diseases? childrens Some,in Hockital. Special? yes Private? yes I2. Daily average number of patients in hospital during training 17000018001 Length of course T hree years 13. Name and address of superintendent you of training school under whom received training miss Helen Scott Hay, , Dept. of hursing, RedCrose, Mrs. Simpson, (Gddress unknown miss many C. Wheler bicagoll St 14. If your training as a nurse was received in more than one hospital, give name, location and time spent in each. Chicago Sying In Hospital, Chicago, Ill. 3 months. Passarant trepitial, Chicago, One month 15. Of what nursing organizations are you a member? alumne association of I T. S nurses association of China 16. Which, if any, is affiliated with the American Nurses Association? I llinois Training School 17. Give name and address of secretary of at least one of these organizations 18. Are you a registered nurse? year In what state? Illinois Date of registration. Feb. 4,1914 Number. 3605 miss Batty of C.d m Shanghai 19. How and where employed since graduation: Give dates with months. Name and address of employers: seft America, may 14, 1994 for China Here B rard of missions been complayed in Minesion work in the prince of Hena of Crangelical The united church since arrivalin china Sec. Dr, B. H. nietel Suft. of Sursep, Siling, Human July, 1816.- Penbrook, Pa China first time Als.a (Specify for which of the following services you wish to be considered.) Shanghan, intend 20. War service, wherever needed after When available yes at present Are you willing to take the oath of allegiance? yes 21. Instructor, Elementary Hygiene 22. Public Health Nursing In Town and Country Nursing Service or for War Service. afes 23. Name and permanent address of nearest relative (Father) more Henry Hobein, Barrington , Illinois, U. S, a Date Seft.6, 1918. Signature of Nurse. Coual F. Hobeine To the Committee: Application by Local forms Committee, (except of with a nurse credentials desiring (Forms to American enroll 3 and for Red 4), the together Cross, Washington, with Forms D. IO C. and II, should be forwarded to the the This Town and Country Nursing Service) after approval and endorse- Chair- blank is to be sent to applicant with circular letter D. M. R. 7, together with Forms D. M. R. 2, II, and A. R. C. 150. ment man, National Committee on Nursing Service, Committee, case instead of to Washington, as instructed, such forms should be forwarded at once to Washington by the In the application forms of a nurse desiring to enroll for the Town and Country Nursing Service are sent to Local Local Com- mittee, from whence credentials will be procured. REQ.--17-2125B-20M-N

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    "ocrText": "Chevron\nDMR1\nTHE AMERICAN RED CROSS\nI\nNURSING SERVICE\nApplication for Enrollment\ne.\n(To be filled out entirely in applicant's handwriting and each question answered fully)\nI. Name of applicant in full\nCora FlorRie Hobein\n2. Address in full, Street siling\nCity Hunani\nState. China\n0\n3. Date of\nbirth Jani9,1884\nPlace of birth\n34\n4.\nAre you married, single or a widow?\nS ingle\n5. Have you any physical defects or tendency to constitutional or pulmonary trouble? not that I know of\nAre you a citizen of the United States? yes\nAre you physically strong and healthy? yes\n6. Name educational institutions attended before entering training school, stating number of years at each and from which you\nF\ngraduated Public school near is arren grow all Tenovelissn years\n-\nwere\nmoody Bible Institute, Two years\n0\n7. What languages other than English do you speak?\nS one german and Chinese.\nS\n8.\nOccupation before entering training school siring at home\nS\n9.\nFrom\nwhat hospital training school did you receive your diploma? I llinois Training School\n-\nCity and state\nChicago, Illinois\nDate of graduation\n1914\ne\nIO. Character of hospital: General? yes\nII. Did your training include obstetrics? yes Care of men? yes Children? yes Contagious diseases? childrens Some,in Hockital.\nSpecial? yes\nPrivate? yes\nI2. Daily average number of patients in hospital during training 17000018001 Length of course T hree years\n13. Name and address of superintendent you\nof training school under whom received training miss Helen Scott Hay,\n,\nDept. of hursing, RedCrose, Mrs. Simpson, (Gddress unknown miss many C. Wheler bicagoll St\n14.\nIf your training as a nurse was received in more than one hospital, give name, location and time spent in each. Chicago\nSying In Hospital, Chicago, Ill. 3 months. Passarant trepitial, Chicago, One month\n15. Of what nursing organizations are you a member? alumne association of I T. S\nnurses association of China\n16.\nWhich, if any, is affiliated with the American Nurses Association? I llinois Training School\n17. Give name and address of secretary of at least one of these organizations\n18. Are you a registered nurse? year In what state? Illinois Date of registration. Feb. 4,1914 Number. 3605\nmiss Batty of C.d m Shanghai\n19. How and where employed since graduation:\nGive dates with months.\nName and address of employers:\nseft America, may 14,\n1994 for China Here\nB rard of missions\nbeen complayed in Minesion\nwork in the prince of Hena\nof Crangelical The united church\nsince arrivalin china\nSec. Dr, B. H. nietel\nSuft. of Sursep, Siling, Human\nJuly, 1816.-\nPenbrook, Pa\nChina\nfirst time\nAls.a\n(Specify for which of the following services you wish to be considered.) Shanghan, intend\n20. War service, wherever needed\nafter\nWhen\navailable yes at present\nAre you willing to take the oath of allegiance? yes\n21. Instructor, Elementary Hygiene\n22. Public Health Nursing\nIn Town and Country Nursing Service\nor for War Service. afes\n23.\nName and permanent address of nearest relative (Father) more Henry Hobein,\nBarrington , Illinois, U. S, a\nDate Seft.6, 1918.\nSignature of Nurse. Coual F. Hobeine\nTo the Committee:\nApplication by Local forms Committee, (except of with a nurse credentials desiring (Forms to American enroll 3 and for Red 4), the together Cross, Washington, with Forms D. IO C. and II, should be forwarded to the the\nThis Town and Country Nursing Service) after approval and endorse- Chair-\nblank is to be sent to applicant with circular letter D. M. R. 7, together with Forms D. M. R. 2, II, and A. R. C.\n150.\nment\nman, National Committee on Nursing Service,\nCommittee, case instead of to Washington, as instructed, such forms should be forwarded at once to Washington by the\nIn the application forms of a nurse desiring to enroll for the Town and Country Nursing Service are sent to Local Local Com-\nmittee, from whence credentials will be procured.\nREQ.--17-2125B-20M-N"
}