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Form 1082
AMERICAN RED CROSS
ROOM
Rev. 2-12-24.
HOME HYGIENE AND CARE OF THE SICP
APPLICATION FOR INSTRUCTORS
to 8 1920
M
Please fill out this form
and RETURN TOMMS. Isabelle W. Baker, R.N.,
Director of Instruction in Home Hygiene and Care of the Sick
National Headquarters,
American hed Crose,
D.C.
of
Name in
full megovern, Eela F
Badge No. 2637
Surname first)
Address
(No. & street)
etregory (Cith
mich
(State)
Telephone number No long rung Religion Cathalic
Date of birth
Oct.1
- 1871 Are you married, single or widow?
State condition of health tairly good
J.
How
many years have you attended High school? Private School? yes -
Normal School?
no
College? no
(State degrees held)
Also check (v) those from which diploma was received.
What languages other than English do you speak? French German and a hitle Serban
(Underline those which you speak fluently)
Location milwawbu, his Date of gradustion Oct.21-1894
Name of Training School Wisconsin fraining School.
Registered Uisconsin (State) and Michigan
Special course in teaching yes - by (Neme mathilde and location of school) Kgueer, Rn.
Length of course
Do you hold State teacher's certificate? no
State experience in teaching:
Public schools
Private schools
Hospital schools of nursing Children's Hasp. milwauker wis
Red Cross Home Hygiene and Care of the Sick wis. and Mich
Other teaching experience Public HealthClasses in the Balkans
Give names and addresses of two former employers (preferably those familiar with
miss Teresa Gardner- 678 Wilson St. milwauku his
your ,teaching ability)
miss mary Jankins -130 Prospect St. Providence R.A.
Present
position None - am married and as home
When would you
be available? as once
Signature Eils 7.maltowarn Stackable
Date march 4th 1926
MAR 8.1928
17927
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Document data
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- Core
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- Type
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DTO data
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"ocrText": "t\na\nForm 1082\nAMERICAN RED CROSS\nROOM\nRev. 2-12-24.\nHOME HYGIENE AND CARE OF THE SICP\nAPPLICATION FOR INSTRUCTORS\nto 8 1920\nM\nPlease fill out this form\nand RETURN TOMMS. Isabelle W. Baker, R.N.,\nDirector of Instruction in Home Hygiene and Care of the Sick\nNational Headquarters,\nAmerican hed Crose,\nD.C.\nof\nName in\nfull megovern, Eela F\nBadge No. 2637\nSurname first)\nAddress\n(No. & street)\netregory (Cith\nmich\n(State)\nTelephone number No long rung Religion Cathalic\nDate of birth\nOct.1\n- 1871 Are you married, single or widow?\nState condition of health tairly good\nJ.\nHow\nmany years have you attended High school? Private School? yes -\nNormal School?\nno\nCollege? no\n(State degrees held)\nAlso check (v) those from which diploma was received.\nWhat languages other than English do you speak? French German and a hitle Serban\n(Underline those which you speak fluently)\nLocation milwawbu, his Date of gradustion Oct.21-1894\nName of Training School Wisconsin fraining School.\nRegistered Uisconsin (State) and Michigan\nSpecial course in teaching yes - by (Neme mathilde and location of school) Kgueer, Rn.\nLength of course\nDo you hold State teacher's certificate? no\nState experience in teaching:\nPublic schools\nPrivate schools\nHospital schools of nursing Children's Hasp. milwauker wis\nRed Cross Home Hygiene and Care of the Sick wis. and Mich\nOther teaching experience Public HealthClasses in the Balkans\nGive names and addresses of two former employers (preferably those familiar with\nmiss Teresa Gardner- 678 Wilson St. milwauku his\nyour ,teaching ability)\nmiss mary Jankins -130 Prospect St. Providence R.A.\nPresent\nposition None - am married and as home\nWhen would you\nbe available? as once\nSignature Eils 7.maltowarn Stackable\nDate march 4th 1926\nMAR 8.1928\n17927"
}