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FORM No. 3
T
AMERICAN RED CROSS
be
UN
NURSING SERVICE
CREDENTIALS FROM TRAINING SCHOOL
n
E
-
1. Name
of applicant Elizabeth D. Rohabach
U 2
2. Name of Training School
Preshyterian Aspital
P
Location beinique
3. Date of graduation april 19,1911 Length of course 3 / 2 years
Was entire course given in above training school ?
the
the
rb
yes
4. Average number of patients in hospital during applicant's training 200 +
5
5. Character of hospital :
T
General
Special
Private
Jo
6. Are pupils sent out for private duty ? no If so, give length of time
I
What, if position of did substitute
a
-
7. any, responsibility applicant hold during her training?
head nurse
cl
5
C
8. Was her record satisfactory in regard to the following :
Work ?
C
Health ?
averago
Conduct ?
9. Was she
employed in your hospital after graduation ? under - special duty
10. What has been her standing as a nurse and a woman since graduation? so td
11. Are you willing to recommend her for Red Cross Service?
yes
Remarks: miss Rohrbach has been a successful
private duty nure. g no reason why
she should not be eeoelae
m.H.m.
will an
Superintendent of Training School.
Graduate
of Minois Haining School
Name and address of Superintendent under whom the applicant was trained :
Date. Febr 8. 1917
same
The above information will be considered confidential
This blank is to be sent direct to the Superintendent of Training School from which applicant graduated with
circular letter concerning same (Form No. 5)
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"ocrText": "II\n&\n0\ne\na\n1\n9\na\nIII\n=\nFORM No. 3\nT\nAMERICAN RED CROSS\nbe\nUN\nNURSING SERVICE\nCREDENTIALS FROM TRAINING SCHOOL\nn\nE\n-\n1. Name\nof applicant Elizabeth D. Rohabach\nU 2\n2. Name of Training School\nPreshyterian Aspital\nP\nLocation beinique\n3. Date of graduation april 19,1911 Length of course 3 / 2 years\nWas entire course given in above training school ?\nthe\nthe\nrb\nyes\n4. Average number of patients in hospital during applicant's training 200 +\n5\n5. Character of hospital :\nT\nGeneral\nSpecial\nPrivate\nJo\n6. Are pupils sent out for private duty ? no If so, give length of time\nI\nWhat, if position of did substitute\na\n-\n7. any, responsibility applicant hold during her training?\nhead nurse\ncl\n5\nC\n8. Was her record satisfactory in regard to the following :\nWork ?\nC\nHealth ?\naverago\nConduct ?\n9. Was she\nemployed in your hospital after graduation ? under - special duty\n10. What has been her standing as a nurse and a woman since graduation? so td\n11. Are you willing to recommend her for Red Cross Service?\nyes\nRemarks: miss Rohrbach has been a successful\nprivate duty nure. g no reason why\nshe should not be eeoelae\nm.H.m.\nwill an\nSuperintendent of Training School.\nGraduate\nof Minois Haining School\nName and address of Superintendent under whom the applicant was trained :\nDate. Febr 8. 1917\nsame\nThe above information will be considered confidential\nThis blank is to be sent direct to the Superintendent of Training School from which applicant graduated with\ncircular letter concerning same (Form No. 5)"
}