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III. EXPERIENCE
1. General experience (If necessary, use additional sheet for listing) Name & Address of
Hospital or organization City and State Nature of Work Dates Person in Charge
geneblasp cow. duty Home Litka Williamesville alara children 1923-24 1921 Jr. neesig her 8. T.Kittleson Buffall
e
Taylor Lacey Poy anburnwith gen- 1925 Taylor
teraconess Moil " Wenathheewant il
1426 the Learenson
chelon Co.
Buffallong
Seff
1937
fr C. Pougher
Priv. duty us
1920
Wenatites wash
For teaching experience indicate: Elementary, Secondary, Normal, College, Nursing
School or other.
M
Chapter
City and State
Type Group
Dates
Red Cross Home Nursing
(formerly Home Hygiene
and Care of the Sick)
IV. PROFESSIONAL STATUS
Registered? To what prof essional yes organizations do you belong? Kuys Co.
Where? work State yn
Om.R.C. Seattle gn aleem
a.n.a -
If not an enrolled Red Cross nurse, has your application for enrollment been submitted to
your Local Committee on Red Cross Nursing Service? (Not Chapter Commitiee)
When and to whom?
V. EMPLOYMENT BASIS
1. Type of work preferred: Rural
either
Urban
2. Will you accept either?
3. do
What state or localities you prefer? ylo Foreign service
4. When will you be available?
now
5. Can you drive a car?
yes
Do you own a car? ye
6. What dependents or family responsibilities do you have? name
7. Are your credentials filed with a placement service? yes
Which? nurses
directory 327 Cabb Bldy Seattle Work
8. Will you accept a temporary appointment? For six months? ylo For one year? yes
9. Salary expected
10. May we approach your present employer for references?
yes
11. Do you have good health?
'/
12. Have you had a recent physical examination?
"/
Remarks:
Please attach a photograph of yourself taken within the past two years.
5
is bad use with
3
a
Date Jon - 22 - 1942
Signature of Applicant
(TIVO)
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"ocrText": "III. EXPERIENCE\n1. General experience (If necessary, use additional sheet for listing) Name & Address of\nHospital or organization City and State Nature of Work Dates Person in Charge\ngeneblasp cow. duty Home Litka Williamesville alara children 1923-24 1921 Jr. neesig her 8. T.Kittleson Buffall\ne\nTaylor Lacey Poy anburnwith gen- 1925 Taylor\nteraconess Moil \" Wenathheewant il\n1426 the Learenson\nchelon Co.\nBuffallong\nSeff\n1937\nfr C. Pougher\nPriv. duty us\n1920\nWenatites wash\nFor teaching experience indicate: Elementary, Secondary, Normal, College, Nursing\nSchool or other.\nM\nChapter\nCity and State\nType Group\nDates\nRed Cross Home Nursing\n(formerly Home Hygiene\nand Care of the Sick)\nIV. PROFESSIONAL STATUS\nRegistered? To what prof essional yes organizations do you belong? Kuys Co.\nWhere? work State yn\nOm.R.C. Seattle gn aleem\na.n.a -\nIf not an enrolled Red Cross nurse, has your application for enrollment been submitted to\nyour Local Committee on Red Cross Nursing Service? (Not Chapter Commitiee)\nWhen and to whom?\nV. EMPLOYMENT BASIS\n1. Type of work preferred: Rural\neither\nUrban\n2. Will you accept either?\n3. do\nWhat state or localities you prefer? ylo Foreign service\n4. When will you be available?\nnow\n5. Can you drive a car?\nyes\nDo you own a car? ye\n6. What dependents or family responsibilities do you have? name\n7. Are your credentials filed with a placement service? yes\nWhich? nurses\ndirectory 327 Cabb Bldy Seattle Work\n8. Will you accept a temporary appointment? For six months? ylo For one year? yes\n9. Salary expected\n10. May we approach your present employer for references?\nyes\n11. Do you have good health?\n'/\n12. Have you had a recent physical examination?\n\"/\nRemarks:\nPlease attach a photograph of yourself taken within the past two years.\n5\nis bad use with\n3\na\nDate Jon - 22 - 1942\nSignature of Applicant\n(TIVO)"
}