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3
Mrs.
FORM No. 3
has
for
9
E
AMERICAN RED CROSS
15
NURSING SERVICE
CREDENTIALS FROM TRAINING SCHOOL
1. applicant
Name of Eline m Jersup
3
2.
Name
of Training School new York Hospital Tr. Sele
Location 8 went 60E8h n.g.c.
3. Date of graduation Sept. 17 1911
Length of course
Was entire course given in above training school ?
4. Average number of patients in hospital during applicant's training
5. Character of hospital :
General
Special
Private
6. Are pupils sent out for private duty ?
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 ?
Conduct
9. Was she employed in your hospital after graduation ?
10. What has been her standing as a nurse and a woman since graduation ?
11. Are you willing to recommend her for Red Cross Service?
Remarks :
mms Jerrup is nor a regarded neuro,
M-H T nam IP.us
Superintendent of Training School.
Graduate
of new gives Houp Tn. Jale
Name and address of Superintendent under whom the
applicant was trained :
Carline sencess
Date may 3'19.6
Idenand
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)
31822
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"ocrText": "3\nMrs.\nFORM No. 3\nhas\nfor\n9\nE\nAMERICAN RED CROSS\n15\nNURSING SERVICE\nCREDENTIALS FROM TRAINING SCHOOL\n1. applicant\nName of Eline m Jersup\n3\n2.\nName\nof Training School new York Hospital Tr. Sele\nLocation 8 went 60E8h n.g.c.\n3. Date of graduation Sept. 17 1911\nLength of course\nWas entire course given in above training school ?\n4. Average number of patients in hospital during applicant's training\n5. Character of hospital :\nGeneral\nSpecial\nPrivate\n6. Are pupils sent out for private duty ?\nIf so, 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 ?\nConduct\n9. Was she employed in your hospital after graduation ?\n10. What has been her standing as a nurse and a woman since graduation ?\n11. Are you willing to recommend her for Red Cross Service?\nRemarks :\nmms Jerrup is nor a regarded neuro,\nM-H T nam IP.us\nSuperintendent of Training School.\nGraduate\nof new gives Houp Tn. Jale\nName and address of Superintendent under whom the\napplicant was trained :\nCarline sencess\nDate may 3'19.6\nIdenand\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)\n31822"
}