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N.Y.
Jan. 1918
Registered in State of
Date
Languages spoken (underline those spoken fluently)
Available for service in event of war
Yes
If not, why?
Available for service in home community in time of emergeney
If not, why?
ENTERED MONTHS COURSE AT
ON
19
8
(NAME OF INSTITUTION)
(MONTH AND DAY)
NATIONAL HEADQUARTERS
COURSE COMPLETED ON
SCHOLARSHIP
COURSE TAKEN ON
PAID FOR FROM
LOAN
CHAPTER FUNDS.
19
(NAME)
(MONTH AND DAY)
SERVICE RECORD
APPOINTED
SERVICE TERMINATED
RESIGNED
SALARY
TRANS-
DATE
NAME OF SERVICE
ADDRESS OF NURSE
DATE
TRANSFERRED
REASON
PORTATION
OR DISMISSED
How and where employed since graduation
Give dates with months
Name and address of employers
Private Nursing,
9 yrs.
Student at Teachers College, N.Y.C.
8 mos. (P. H. Course)
Public Health, Erie Co., Supervising Nurse in T.B.
6 mos.
Check any of following in which experience has been had and time in each
:
General visiting nursing
Municipal nursing
Infant welfare nursing
Industrial nursing
Tuberculosis nursing
Social service nursing
School nursing
Other
Special course in public health nursing or social service work, state where, and between what dates:
Preference as to locality.
Kind of work desired
Salary desired
Religion
Page data
- Page
- 47
- Source index
- 0
- Type
- photo
- Media ID
- 84604cb944179869
- Size
- unknown
Document data
- ID
- 2662273
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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"logicalDate": "1918-11-23",
"month": 11,
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Page context
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"ocrText": "N.Y.\nJan. 1918\nRegistered in State of\nDate\nLanguages spoken (underline those spoken fluently)\nAvailable for service in event of war\nYes\nIf not, why?\nAvailable for service in home community in time of emergeney\nIf not, why?\nENTERED MONTHS COURSE AT\nON\n19\n8\n(NAME OF INSTITUTION)\n(MONTH AND DAY)\nNATIONAL HEADQUARTERS\nCOURSE COMPLETED ON\nSCHOLARSHIP\nCOURSE TAKEN ON\nPAID FOR FROM\nLOAN\nCHAPTER FUNDS.\n19\n(NAME)\n(MONTH AND DAY)\nSERVICE RECORD\nAPPOINTED\nSERVICE TERMINATED\nRESIGNED\nSALARY\nTRANS-\nDATE\nNAME OF SERVICE\nADDRESS OF NURSE\nDATE\nTRANSFERRED\nREASON\nPORTATION\nOR DISMISSED\nHow and where employed since graduation\nGive dates with months\nName and address of employers\nPrivate Nursing,\n9 yrs.\nStudent at Teachers College, N.Y.C.\n8 mos. (P. H. Course)\nPublic Health, Erie Co., Supervising Nurse in T.B.\n6 mos.\nCheck any of following in which experience has been had and time in each\n:\nGeneral visiting nursing\nMunicipal nursing\nInfant welfare nursing\nIndustrial nursing\nTuberculosis nursing\nSocial service nursing\nSchool nursing\nOther\nSpecial course in public health nursing or social service work, state where, and between what dates:\nPreference as to locality.\nKind of work desired\nSalary desired\nReligion"
}