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FORM 888
AMERICAN RED CROSS
SCHOLARSHIP FUND FOR INSTRUCTORS IN SCHOOLS OF NURSING
APPLICATION FOR SCHOLARSHIP
1. Name in full
Duggage Elizabant U.
2. Place and date of birth
goodstock I'll DEC 1889
3. Permanent address
452 south RN. Noodstock, Ill.
4. Present address
5. Academic and professional
training : 416 9t.122 st. new york City
DATE OF
DATE OF
DIPLOMA OR
NAME
LOCATION
ENTRANCE
LEAVING
DEGREE RECEIVED
a. Elementary/ School:
Nordstrolefree
1895
1907
8th Grade
b. High
Woodstock, School: Ill
Sugas? to 1909-?
c. Normal School
DEKALP Ill
Dakalt, Iee Summer terms 910-11
d. College:
Univ of Nisc. madison Nise
..
.. 1916
e. Other
6. Professional Training :
a student as Teachers College Candidate for B. S degue
a. Training School for Nurses
Ravinewood Hosp. Training school
Connected with
Raramenood
Hospital
b. Date of Entrance
1912
of leaving 1915
Diploma received
chicago
yes
c. Name of Superintendent of Nurses at date of graduation
d. Name of Present Superintendent if other than above
1917 Wilson are Chicago, Same ,If
Miss sydney K. appell
e. Training in other schools
7. Occupations or experience before entrance to Training School:
Teacher in Elementary schools
8. Occupations or experience since graduation:
about 2lyrs with Base Hosp. no.12 France
2 yrs priofte duty
9. Positions held since graduation :
10. Of what associations are you a member? I'll state association
11. What has been the condition of your health, and what is it at present? good
(Kindly return enclosed physical blank filled in by your physician.)
12. Are you enrolled in the Red Cross Nursing Service?
yes
13. Should you resign or retire before completing the work undertaken through this scholarship, do you pledge yourself to repay
to
the Fund the sum advanced?
yes
14. Have you applied elsewhere for a scholarship?
no
15. Kindly return to Department of Nursing, American Red Cross Headquarters, Washington, D. C.
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"ocrText": "FORM 888\nAMERICAN RED CROSS\nSCHOLARSHIP FUND FOR INSTRUCTORS IN SCHOOLS OF NURSING\nAPPLICATION FOR SCHOLARSHIP\n1. Name in full\nDuggage Elizabant U.\n2. Place and date of birth\ngoodstock I'll DEC 1889\n3. Permanent address\n452 south RN. Noodstock, Ill.\n4. Present address\n5. Academic and professional\ntraining : 416 9t.122 st. new york City\nDATE OF\nDATE OF\nDIPLOMA OR\nNAME\nLOCATION\nENTRANCE\nLEAVING\nDEGREE RECEIVED\na. Elementary/ School:\nNordstrolefree\n1895\n1907\n8th Grade\nb. High\nWoodstock, School: Ill\nSugas? to 1909-?\nc. Normal School\nDEKALP Ill\nDakalt, Iee Summer terms 910-11\nd. College:\nUniv of Nisc. madison Nise\n..\n.. 1916\ne. Other\n6. Professional Training :\na student as Teachers College Candidate for B. S degue\na. Training School for Nurses\nRavinewood Hosp. Training school\nConnected with\nRaramenood\nHospital\nb. Date of Entrance\n1912\nof leaving 1915\nDiploma received\nchicago\nyes\nc. Name of Superintendent of Nurses at date of graduation\nd. Name of Present Superintendent if other than above\n1917 Wilson are Chicago, Same ,If\nMiss sydney K. appell\ne. Training in other schools\n7. Occupations or experience before entrance to Training School:\nTeacher in Elementary schools\n8. Occupations or experience since graduation:\nabout 2lyrs with Base Hosp. no.12 France\n2 yrs priofte duty\n9. Positions held since graduation :\n10. Of what associations are you a member? I'll state association\n11. What has been the condition of your health, and what is it at present? good\n(Kindly return enclosed physical blank filled in by your physician.)\n12. Are you enrolled in the Red Cross Nursing Service?\nyes\n13. Should you resign or retire before completing the work undertaken through this scholarship, do you pledge yourself to repay\nto\nthe Fund the sum advanced?\nyes\n14. Have you applied elsewhere for a scholarship?\nno\n15. Kindly return to Department of Nursing, American Red Cross Headquarters, Washington, D. C."
}