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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

Page
78
Source index
0
Type
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Media ID
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Size
unknown

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2662214
Core
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Type
document
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Document identity
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Document source extras
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Page context
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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."
}