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M an u T J 5 D.M.R.3 reams F TH FE 4 1 NURSING SERVICE D CREDENTIALS FROM TRAINING SCHOOL = 1. Name of applicant 2. Name of Location Training School Walla Sungray Malla Training wash! School St alicy U. murphy 3. Date of graduation april / 1912 3 years L 288 a Was If not, entire state course where, given giving in dates above Training Length School? of course yes 4. Daily average number of patients in hospital during applicant's training 5. Character of hospital: General yes Special Private 6. Did this training includé obstetrics? Children? If this yes Contagious diseases? yes yes Care of men ? yes 7. course included private duty outside hospital, give length of time Does it at present ? 8. If course included training or experience in public health nursing, state for what length of time and with what agency? 9. What, if any, position of responsibility did applicant hold during ,her training? 10. glead What was nurse her record In in medicals Rurgical department regard to the following: Work? Very good Health? Conduct ? E peelent 11. What can you say relative to her Personality? Etcoming Is she neat yes Initiative? Executive ability? quality the a parsonable degree Refined yes has 12. 13. What Was she has employed been her in standing your hospital as Very a nurse fter/graduation good and as a woman ? Only since for "graduation short ?. alone time reproach 14. Are far as me know she has Conference California for afait years you willing to recommend her for Red Cross Service? and Remarks: a Inies first make is a perfect Lody Sister Paecal Graduate of St. Vincent) Keep. Portland Of Superintendent of Training School. Name and address of Superintendent under whom the applicant was trained; Date Jennanay 30-1918 The above Hospital sister Incain information will be considered confidential astoria. One This blank is to be sent direct to the Superintendent of Training School from which applicant graduated with circular letter concerning same (D. M. R.5) Req. 17 784 May 8M

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