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III. EXPERIENCE
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
St. Vincents
Portland, Ore. Gen Private 1931-42 Sister Genevieve
Doernbecher
1931-42
Miss Grace Phelus
Robert Coffey Memorial
"
General only
1936-40
Mrs. Paul
For teaching experience indicate: Elementary, Secondary, Normal, College, Nursing
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
(Red Cross)
Registered? GRaduate Registered Nurse. Where? State of Oregon
To what professional organizations do you belong? St Vincents Alumni, Portland, are.
American Nurses Association
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 Committee)
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?
No preference
4. When will you be available?
At once
5. Can you drive a car? No
Do you own a car?
No
6. What dependents or family responsibilities do you have? None
7. Are your credentials filed with a placement service? Yes
Which?
Official Nurses Registry, Pittock Block, Portland, Oregon
Be 6228
8. Will you accept a temporary appointment? For six months? X
For one year ?Prefer
9. Salary expected Yes
$90. and maintenance
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:
1:5-42 Vaccinated for Small Pox, Diptheria Toxoid 0.5 cc, Typhoid vaccine 0.5 cc.
1-12-42 Typhoid vaccine 1.0 cc. 1-19-42 1.0 cc Typhoid vaccine. 1-26-42 Tetanus
Toxoid 1,0 cc. 1-27-42 Diptheria Toxoid 1.0 cc.
Please attach a photograph of yourself taken within the past two years.
Date 2-3-42
Signature of Applicant
Gruener Lepiestre
Page data
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Document data
- ID
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- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "III. EXPERIENCE\n1. General experience (If necessary, use additional sheet for listing) Name & Address of\nHospital or organization City and State Nature of Work Dates Person in Charge\nSt. Vincents\nPortland, Ore. Gen Private 1931-42 Sister Genevieve\nDoernbecher\n1931-42\nMiss Grace Phelus\nRobert Coffey Memorial\n\"\nGeneral only\n1936-40\nMrs. Paul\nFor teaching experience indicate: Elementary, Secondary, Normal, College, Nursing\nSchool or other.\nChapter\nCity and State\nType Group\nDates\nRed Cross Home Nursing\n(formerly Home Hygiene\nand Care of the Sick)\nIV. PROFESSIONAL STATUS\n(Red Cross)\nRegistered? GRaduate Registered Nurse. Where? State of Oregon\nTo what professional organizations do you belong? St Vincents Alumni, Portland, are.\nAmerican Nurses Association\nIf not an enrolled Red Cross nurse, has your application for enrollment been submitted to\nyour Local Committee on Red Cross Nursing Service? (Not Chapter Committee)\nWhen and to whom?\nV. EMPLOYMENT BASIS\n1. Type of work preferred: Rural\nUrban\nX\n2. Will you accept either?\nYes\n3. What state or localities do you prefer?\nNo preference\n4. When will you be available?\nAt once\n5. Can you drive a car? No\nDo you own a car?\nNo\n6. What dependents or family responsibilities do you have? None\n7. Are your credentials filed with a placement service? Yes\nWhich?\nOfficial Nurses Registry, Pittock Block, Portland, Oregon\nBe 6228\n8. Will you accept a temporary appointment? For six months? X\nFor one year ?Prefer\n9. Salary expected Yes\n$90. and maintenance\n10. May we approach your present employer for references? Yes\n11. Do you have good health?\nYes\n12. Have you had a recent physical examination?\nYes\nRemarks:\n1:5-42 Vaccinated for Small Pox, Diptheria Toxoid 0.5 cc, Typhoid vaccine 0.5 cc.\n1-12-42 Typhoid vaccine 1.0 cc. 1-19-42 1.0 cc Typhoid vaccine. 1-26-42 Tetanus\nToxoid 1,0 cc. 1-27-42 Diptheria Toxoid 1.0 cc.\nPlease attach a photograph of yourself taken within the past two years.\nDate 2-3-42\nSignature of Applicant\nGruener Lepiestre"
}