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1982 .OUT.
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
l mo the duty
For teaching experience indicate: Elementary, Secondary, Normal, College, Nursing
School or other.
wine
n
em
Chapter
City and State
Type Group
Dates
Red Cross Home Nursing
(formerly Home Hygiene
K
and Care of the Sick)
er
1
a
IV. PROFESSIONAL STATUS
f
&
Registered?
yes
Where?
Idaho
: =
To what professional organizations do you belong?
St humse assin
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 Commituee)
When and to whom?
V. EMPLOYMENT BASIS
K
1. Type of work preferred: Rural
Urban
-
2. Will you accept either?
yes
1
3. What state or localities do you prefer? Housluly
to
4. When will you be available?
now
0
5. Can you drive a car?
ze
Do you own a car? we
6. What dependents or family responsibilities do you have? time
7. Are your credentials filed with a placement service? Je Which? nurse
+
official Rea
8. Will you accept a temporary appointment? For, six months? ge For one year? years
10. May we approach your present employer for references?
9. Salary expected 890 per mont
ge
11. Do you have good health?
12. Have you had a recent physical examination?
clusz 0.00.20A it
Remarks:
Please attach a photograph of yourself taken within the past two years.
I
i boil 000 evall
Date Jon - 26 - 1943
blood
way
of
Signature of Applicant
(20VO)
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"ocrText": "x\ncone\n1982 .OUT.\nIII. 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\nl mo the duty\nFor teaching experience indicate: Elementary, Secondary, Normal, College, Nursing\nSchool or other.\nwine\nn\nem\nChapter\nCity and State\nType Group\nDates\nRed Cross Home Nursing\n(formerly Home Hygiene\nK\nand Care of the Sick)\ner\n1\na\nIV. PROFESSIONAL STATUS\nf\n&\nRegistered?\nyes\nWhere?\nIdaho\n: =\nTo what professional organizations do you belong?\nSt humse assin\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 Commituee)\nWhen and to whom?\nV. EMPLOYMENT BASIS\nK\n1. Type of work preferred: Rural\nUrban\n-\n2. Will you accept either?\nyes\n1\n3. What state or localities do you prefer? Housluly\nto\n4. When will you be available?\nnow\n0\n5. Can you drive a car?\nze\nDo you own a car? we\n6. What dependents or family responsibilities do you have? time\n7. Are your credentials filed with a placement service? Je Which? nurse\n+\nofficial Rea\n8. Will you accept a temporary appointment? For, six months? ge For one year? years\n10. May we approach your present employer for references?\n9. Salary expected 890 per mont\nge\n11. Do you have good health?\n12. Have you had a recent physical examination?\nclusz 0.00.20A it\nRemarks:\nPlease attach a photograph of yourself taken within the past two years.\nI\ni boil 000 evall\nDate Jon - 26 - 1943\nblood\nway\nof\nSignature of Applicant\n(20VO)"
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