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No. 1
RECEIVED
AMERICAN RED CROSS
NURSING SERVICE
APR 16 1912
APPLICATION FOR ENROLLMENT
BY RED CROSS
(To be filled out entirely in applicant's handwriting)
I. Name of applicant. annie P. Inc. Camely
Badge Number
2. Address in full 91. learnington ave Providence P...I.
3.
Date of birth Jame 20 th 1882 Place of birth
Produce
4. Are you married, single or a widow S.
Are you a citizen of the United States? Yes
5. Have you any physical defects?
no
6. Occupation before entering Traiing School blerk
7. From what Training School did you graduate? R. I. Hospital Date July 5th 1907
8. Give location of Training School Produced Rhode Daland
9. Character of hospital: General
Special?
Private?
IO. How beds at time of of
many graduation? 300 Length course Three years
II. Name and address of Superintendent of Training School under whom you were trained
miss Lord R. I Hospital. Per R I
12. Of what nursing organizations are you a member? R. I. State Association
fraduate hurses. R. I. H hurses alemnos Association
I3. Give name and address of Secretary hus annie helley
14. Are you a registered nurse? no In what State?
no registration 30 Baker in state is get
Date of registration
15. How and where have you been employed since graduation? Give information for each year
Associations suiel praduation
with the Produce plastruct mursing
16. In the event of war are you willing to take the required oath of allegiance? yes
17. Name and permanent address of nearest relative. mi B. me learly
Date april 7. 1.9.12
26 badfry st Launton mass
This blank to be sent to applicant with circular letter and rules governing enrollment. After
Signature annie approval R. and Inc endorsement by local
Committee to be forwarded with credentials" (Form Nos. 3 and 4) to the Chairman, National Committee on Red Cross Nursing Service,
Washington, D.C.
Page data
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Document data
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- Core
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- Type
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Context sent to Scholar
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"ocrText": "No. 1\nRECEIVED\nAMERICAN RED CROSS\nNURSING SERVICE\nAPR 16 1912\nAPPLICATION FOR ENROLLMENT\nBY RED CROSS\n(To be filled out entirely in applicant's handwriting)\nI. Name of applicant. annie P. Inc. Camely\nBadge Number\n2. Address in full 91. learnington ave Providence P...I.\n3.\nDate of birth Jame 20 th 1882 Place of birth\nProduce\n4. Are you married, single or a widow S.\nAre you a citizen of the United States? Yes\n5. Have you any physical defects?\nno\n6. Occupation before entering Traiing School blerk\n7. From what Training School did you graduate? R. I. Hospital Date July 5th 1907\n8. Give location of Training School Produced Rhode Daland\n9. Character of hospital: General\nSpecial?\nPrivate?\nIO. How beds at time of of\nmany graduation? 300 Length course Three years\nII. Name and address of Superintendent of Training School under whom you were trained\nmiss Lord R. I Hospital. Per R I\n12. Of what nursing organizations are you a member? R. I. State Association\nfraduate hurses. R. I. H hurses alemnos Association\nI3. Give name and address of Secretary hus annie helley\n14. Are you a registered nurse? no In what State?\nno registration 30 Baker in state is get\nDate of registration\n15. How and where have you been employed since graduation? Give information for each year\nAssociations suiel praduation\nwith the Produce plastruct mursing\n16. In the event of war are you willing to take the required oath of allegiance? yes\n17. Name and permanent address of nearest relative. mi B. me learly\nDate april 7. 1.9.12\n26 badfry st Launton mass\nThis blank to be sent to applicant with circular letter and rules governing enrollment. After\nSignature annie approval R. and Inc endorsement by local\nCommittee to be forwarded with credentials\" (Form Nos. 3 and 4) to the Chairman, National Committee on Red Cross Nursing Service,\nWashington, D.C."
}