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FORM No. 3
AMERICAN RED CROSS
Mark
NURSING SERVICE
CREDENTIALS FROM TRAINING SCHOOL
1. Name of applicant
Lunda Reilians
2.
Name of Training School new England Hispitalfor Wonces , lobildren and
Location
Demock St, Rox busy. man,
3. Date of graduation Sept! 1873
Ome years at total time
Length of course nion, three years
Was entire given in above training school ? you
course
4. Average number of patients in hospital during applicant's training
75
5. Character of hospital :
General y
Special
partially Private
6. Are pupils sent out for private duty ? no If
so, give length of time
7. What, if any, position of responsibility did applicant hold during her training ?
8. Was her record satisfactory in regard to the following :
Work ?
Health ?
for 1, as 1 Oar as I snow
Conduct ?
el
9. Was she employed in your hospital after graduation ? schink she was
10. What has been her standing as a nurse and a woman since graduation ?
11.
Remarks: Are you willing Then to recommend were her for Red Cross Service? you
NO referrals of student
mwac Kept at the time I min Reileard's
generation
charlotte A.Brown Rn.
Superintendent of Training School.
Graduate of Boston beter Hospital
Name and address of Superintendent under whom the applicant was trained :
Date Africal. 28 1916
The above information will be considered confidential
This blank is to be sent direct to the Superintendent of Training School from which applicant graduated with
circular letter concerning same (Form No. 5)
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"ocrText": "FORM No. 3\nAMERICAN RED CROSS\nMark\nNURSING SERVICE\nCREDENTIALS FROM TRAINING SCHOOL\n1. Name of applicant\nLunda Reilians\n2.\nName of Training School new England Hispitalfor Wonces , lobildren and\nLocation\nDemock St, Rox busy. man,\n3. Date of graduation Sept! 1873\nOme years at total time\nLength of course nion, three years\nWas entire given in above training school ? you\ncourse\n4. Average number of patients in hospital during applicant's training\n75\n5. Character of hospital :\nGeneral y\nSpecial\npartially Private\n6. Are pupils sent out for private duty ? no If\nso, give length of time\n7. What, if any, position of responsibility did applicant hold during her training ?\n8. Was her record satisfactory in regard to the following :\nWork ?\nHealth ?\nfor 1, as 1 Oar as I snow\nConduct ?\nel\n9. Was she employed in your hospital after graduation ? schink she was\n10. What has been her standing as a nurse and a woman since graduation ?\n11.\nRemarks: Are you willing Then to recommend were her for Red Cross Service? you\nNO referrals of student\nmwac Kept at the time I min Reileard's\ngeneration\ncharlotte A.Brown Rn.\nSuperintendent of Training School.\nGraduate of Boston beter Hospital\nName and address of Superintendent under whom the applicant was trained :\nDate Africal. 28 1916\nThe above information will be considered confidential\nThis blank is to be sent direct to the Superintendent of Training School from which applicant graduated with\ncircular letter concerning same (Form No. 5)"
}