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6. Check all degrees obtained subsequent to entering training:
Bachelor's Degree
Master's Degree
Certificate in Public Health Nursing
7. In which major field was your academic study?
Institutional
Public Health
Other (specify)
Non-nursing (specify)
Courses in principles of teaching
Courses in practice teaching (type)
State teacher's certificate?
Where?
Foreign languages spoken
IV. EXPERIENCE
Hospital or Organization
City and State
Nature of Work
Dates
Person in Charge
Bowning Geen Hospital
Bowling Geen Ry SURGERY Qd'40-Septif E BRowNe, IR.N.
Jewish Hospital
Louisville Ky SURGERY Dept-41 H.A.CROSS.
GASSAMSON Community
GLASGOW Ky SURGERY MAy +2 Myrtle JEAN, R.N.
PRIVOTEDUTY
Louisville, ty
ONly fou short Periods
For teaching experience indicate: elementary, secondary, normal, college, nursing, or other.
Have you taught Red Cross Home Nursing (formerly Home Hygiene and Care of the Sick)?
Chapter
City and State
Type Groups
Dates
V. EMPLOYMENT BASIS
1. Type of work preferred: Rural
Urban
Will you accept either?
2. What State or localities do you prefer?
3. When will you be available?
4. Can you drive a car?
yes
Do you own a car?
NONE
yes
5. What dependents or family responsibilities do you have?
6. Name of nearest relative to be notified in case of accident (relationship and address)
MRS S.B HOAG 1505 Rosewoo S Ave, Louisville, Ky
7.
Give name of placement service, if registered with one
8. May we approach your present employer for references? yes
10. When did you have your last physical examination? JANURARY 1442
9. Do you have good health? yes
Remarks:
(Please attach photograph
of yourself, taken within
the past two years.)
R.N
(Signature of applicant)
Date 12-9-42
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Context sent to Scholar
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"ocrText": "0.2\n6. Check all degrees obtained subsequent to entering training:\nBachelor's Degree\nMaster's Degree\nCertificate in Public Health Nursing\n7. In which major field was your academic study?\nInstitutional\nPublic Health\nOther (specify)\nNon-nursing (specify)\nCourses in principles of teaching\nCourses in practice teaching (type)\nState teacher's certificate?\nWhere?\nForeign languages spoken\nIV. EXPERIENCE\nHospital or Organization\nCity and State\nNature of Work\nDates\nPerson in Charge\nBowning Geen Hospital\nBowling Geen Ry SURGERY Qd'40-Septif E BRowNe, IR.N.\nJewish Hospital\nLouisville Ky SURGERY Dept-41 H.A.CROSS.\nGASSAMSON Community\nGLASGOW Ky SURGERY MAy +2 Myrtle JEAN, R.N.\nPRIVOTEDUTY\nLouisville, ty\nONly fou short Periods\nFor teaching experience indicate: elementary, secondary, normal, college, nursing, or other.\nHave you taught Red Cross Home Nursing (formerly Home Hygiene and Care of the Sick)?\nChapter\nCity and State\nType Groups\nDates\nV. EMPLOYMENT BASIS\n1. Type of work preferred: Rural\nUrban\nWill you accept either?\n2. What State or localities do you prefer?\n3. When will you be available?\n4. Can you drive a car?\nyes\nDo you own a car?\nNONE\nyes\n5. What dependents or family responsibilities do you have?\n6. Name of nearest relative to be notified in case of accident (relationship and address)\nMRS S.B HOAG 1505 Rosewoo S Ave, Louisville, Ky\n7.\nGive name of placement service, if registered with one\n8. May we approach your present employer for references? yes\n10. When did you have your last physical examination? JANURARY 1442\n9. Do you have good health? yes\nRemarks:\n(Please attach photograph\nof yourself, taken within\nthe past two years.)\nR.N\n(Signature of applicant)\nDate 12-9-42"
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