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I
a
T
,
10
st.
5
12. PROFESSIONAL AFFILIATIONS:
Giverican nurses association
1
x
Of
what State Nurses' Association are you a member ?* G.n.a., Districh Columbia
ct
To whom and when did you last pay your dues?
January 1942
(Year)
Graduate (Name) nurses association f Title the and District of Organization) Columbia Washington (Address) D.C
G
N
of
e
If not a member, when and where do you plan to join ?
In
Reciprocity District Q Columbia
what State are you registered ? maryland
What year? 1926
Registration number 4546
"
1929
4058
If not registered, when and in what State
will you take your State Board examination?
(State)
(Date)
13. Present Position :
Field of Nursing
Major Responsibilities
H
1 Institutional
4 Private Duty
1 Administration
4
General Duty
7
2
Public Health
Other (specify below)
2 Supervision
Private Duty
3 Industrial
3 Teaching
Other (specify below)
14. Give in order, positions held since graduation. Star present position
Type of
In what type
Name of Organization
position held
of service
or Hospital
City
State
Dates
15. Availability :
Although I realize that my ability to respond to a call to service depends on the circumstances at the time the call is
received, by applying for enrollment I signify my desire to make myself available for the emergency nursing needs
of my country. I understand that this may mean service with the Red Cross in case of disaster, or, in the event of
war, with the Army or Navy. For military assignment I prefer the Army Nurse Corps;
Navy Nurse Corps;
Either as needed. I will be available for service. when needed
(Date)
Date September 24, 1942
Signature of nurse Bertha d murphy
*Membership in a District Nurses' Association carries with it membership in the State Nurses' Association and the American Nurses'
Association. Membership in your Alumnae Association, provided you live in the district in which it is located, carries with it membership
in the State Nurses' Association and the American Nurses' Association.
Hawaii itn't HII
I
SPACE BELOW TO BE FILLED IN BY COMMITTEE
PLEASE DO NOT USE THIS SPACE
O.K.
The recommendations of the Local Committee on
APPROVED
a
I
Red Cross Nursing Service should be indicated below,
over the signature of at least two members of the
Committee.
Mary Beard
APPROVED
NOT APPROVED
Director Red Cress Nursing Service
2EKAICE
10,
Name of Committee D.C. Cow.
Date 10-2 -
No. HD10961 Enrolled Date 10-3-42
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"ocrText": "M\nI\na\nT\n,\n10\nst.\n5\n12. PROFESSIONAL AFFILIATIONS:\nGiverican nurses association\n1\nx\nOf\nwhat State Nurses' Association are you a member ?* G.n.a., Districh Columbia\nct\nTo whom and when did you last pay your dues?\nJanuary 1942\n(Year)\nGraduate (Name) nurses association f Title the and District of Organization) Columbia Washington (Address) D.C\nG\nN\nof\ne\nIf not a member, when and where do you plan to join ?\nIn\nReciprocity District Q Columbia\nwhat State are you registered ? maryland\nWhat year? 1926\nRegistration number 4546\n\"\n1929\n4058\nIf not registered, when and in what State\nwill you take your State Board examination?\n(State)\n(Date)\n13. Present Position :\nField of Nursing\nMajor Responsibilities\nH\n1 Institutional\n4 Private Duty\n1 Administration\n4\nGeneral Duty\n7\n2\nPublic Health\nOther (specify below)\n2 Supervision\nPrivate Duty\n3 Industrial\n3 Teaching\nOther (specify below)\n14. Give in order, positions held since graduation. Star present position\nType of\nIn what type\nName of Organization\nposition held\nof service\nor Hospital\nCity\nState\nDates\n15. Availability :\nAlthough I realize that my ability to respond to a call to service depends on the circumstances at the time the call is\nreceived, by applying for enrollment I signify my desire to make myself available for the emergency nursing needs\nof my country. I understand that this may mean service with the Red Cross in case of disaster, or, in the event of\nwar, with the Army or Navy. For military assignment I prefer the Army Nurse Corps;\nNavy Nurse Corps;\nEither as needed. I will be available for service. when needed\n(Date)\nDate September 24, 1942\nSignature of nurse Bertha d murphy\n*Membership in a District Nurses' Association carries with it membership in the State Nurses' Association and the American Nurses'\nAssociation. Membership in your Alumnae Association, provided you live in the district in which it is located, carries with it membership\nin the State Nurses' Association and the American Nurses' Association.\nHawaii itn't HII\nI\nSPACE BELOW TO BE FILLED IN BY COMMITTEE\nPLEASE DO NOT USE THIS SPACE\nO.K.\nThe recommendations of the Local Committee on\nAPPROVED\na\nI\nRed Cross Nursing Service should be indicated below,\nover the signature of at least two members of the\nCommittee.\nMary Beard\nAPPROVED\nNOT APPROVED\nDirector Red Cress Nursing Service\n2EKAICE\n10,\nName of Committee D.C. Cow.\nDate 10-2 -\nNo. HD10961 Enrolled Date 10-3-42"
}