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No. 1 AMERICAN RED CROSS NURSING SERVICE APPLICATION FOR ENROLLMENT (To be filled out entirely in applicant's handwriting) I. Name of applicant Naunie Jacqueline minor 2. Address in full 2.07 E. Carly St Richmond yes 40 3. Date of birth June 13-4-1871 Place of birth of Virginia 4. or a Are you married, single, widow ? Single 5. Are you a citizen of the United States? yes 6. Have you any physical defects? no us 7. Education and occupation before entering Training School Home t 2 at Boarding School 8. From what Training School did you graduate? old Dominion Hospital Richmond ra 9. Character of hospital General yes Special? - Private? - IO. How beds in about 100 many hospital at time of graduation? II. Date of graduation June 1900 Length of course 2 you 12. Name and address of Superintendent of Training School under whom you were trained miss S. H. Cahanies Bearer Dam va T.I.D School I3. Of what nursing organization are you a member ? Alumnae Richmond hurein Club State Association 14. Give name and address of Secretary miss E R.P.P.Cocke Bow air for (O.D.H Alummar ass.) I5. Are you a registered nurse? yes In what State? ya Date of registration Feb 18-1904 d. 16. How and where have been since Give information for each District you employed graduation? year nursing in Richmond since 1901- 17. Name and permanent address of nearest relative Mr. Johns B. Munor 1133 West ave. Richmond Date. march 14" ya Signature Namie Jacqueline minor This blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to be forwarded with credentials" (Form Nos. 3 and 4), to the Chairman National Committee on Red Cross Nursing Service, Washington, D. C.

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47
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2661986
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Context sent to Scholar

Document identity
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Document source extras
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    "coverageEndDate": {
        "day": 21,
        "logicalDate": "1934-02-21",
        "month": 2,
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Page context
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    "ocrText": "No. 1\nAMERICAN RED CROSS\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nI. Name of applicant Naunie Jacqueline minor\n2. Address in full 2.07 E. Carly St Richmond yes\n40\n3. Date of birth June 13-4-1871 Place of birth of Virginia\n4. or a\nAre you married, single, widow ? Single\n5. Are you a citizen of the United States? yes\n6. Have you any physical defects?\nno\nus\n7. Education and occupation before entering Training School Home t 2 at Boarding\nSchool\n8. From what Training School did you graduate? old Dominion Hospital\nRichmond ra\n9. Character of hospital General yes\nSpecial? -\nPrivate? -\nIO. How beds in about 100\nmany hospital at time of graduation?\nII. Date of graduation June 1900\nLength of course 2 you\n12. Name and address of Superintendent of Training School under whom you were trained\nmiss S. H. Cahanies Bearer Dam va T.I.D\nSchool\nI3. Of what nursing organization are you a member ? Alumnae Richmond hurein\nClub State Association\n14. Give name and address of Secretary miss E R.P.P.Cocke Bow air for (O.D.H Alummar ass.)\nI5. Are you a registered nurse? yes In what State? ya\nDate of registration Feb 18-1904\nd.\n16. How and where have been since Give information for each District\nyou employed graduation? year\nnursing in Richmond since 1901-\n17. Name and permanent address of nearest relative Mr. Johns B. Munor\n1133 West ave. Richmond\nDate. march 14\"\nya\nSignature Namie Jacqueline minor\nThis blank to be sent to applicant with circular letter and rules governing enrollment. After approval and endorsement by local Committee to be forwarded\nwith\ncredentials\" (Form Nos. 3 and 4), to the Chairman National Committee on Red Cross Nursing Service, Washington, D. C."
}