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Form 1082 AMERICAN RED CROSS A. R. C. MAIL ROOM Rev. 2-12-24. HOME HYGIENE AND CARE OF THE SICK RECEIVED APPLICATION FOR INSTRUCTORS Please fill out this form APR 3 1921 and RETURN TO toferred UV BIA Director of Instruction in Home Hygiene and Care of the Sick, Washingtor Division Wash lington, D. C. Name in full Wrbb Blanche 7 Badge No. 13212 Surname first) Address 300 W. ynho rustack Uu (No. & treet) (Ciny) (State) Telephone number 218 10 Religion Protestant Date of brith June 41885 Are you married, single or widow? single State condition of health Excellust How many years have you attended High School? Private School? 9yrs no Normal School? College? I. Columbia University. degree (State degrees held) Also check (v) those from which diploma was received. What languages other than English do you speak? would Name of Training School hmpach Protestant Herpital (Underline those which you speak fluently) Registered Location Da hospety a Date of graduation march 19,2 (State) Special course in teaching no (Name and location of school) Length of course Do you hold State teacher's certificate? State experience in teaching: Public schools Private schools Hospital schools of nursing U. n a Red Cross Home Hygiene and Care of the Sick Other teaching experience Reaturing Give names and addresses of two former employers (preferably those familiar with your teaching ability(A this Ell zabith for Present position Divector U. n a hastrah na Cumine W. grodrich as When would you be available? minebicatty HJ Sent claraes Janiad Signature Blauebe 7 torble Date March 31.1924 17927 2

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    "ocrText": "Form 1082\nAMERICAN RED CROSS\nA. R. C. MAIL ROOM\nRev. 2-12-24.\nHOME HYGIENE AND CARE OF THE SICK\nRECEIVED\nAPPLICATION FOR INSTRUCTORS\nPlease fill out this form\nAPR 3 1921\nand RETURN TO\ntoferred UV BIA\nDirector of Instruction in Home Hygiene and Care of the Sick,\nWashingtor\nDivision\nWash lington, D. C.\nName in full Wrbb Blanche 7\nBadge No. 13212\nSurname first)\nAddress 300 W. ynho\nrustack\nUu\n(No. & treet)\n(Ciny)\n(State)\nTelephone number 218 10\nReligion\nProtestant\nDate of brith June 41885\nAre you married, single or widow? single\nState condition of health Excellust\nHow many years have you attended High School?\nPrivate School? 9yrs\nno\nNormal School?\nCollege? I. Columbia University. degree\n(State degrees held)\nAlso check (v) those from which diploma was received.\nWhat languages other than English do you speak?\nwould\nName of Training School hmpach Protestant Herpital\n(Underline those which you speak fluently)\nRegistered Location Da\nhospety\na\nDate of graduation march 19,2\n(State)\nSpecial course in teaching\nno\n(Name and location of school)\nLength of course\nDo you hold State teacher's certificate?\nState experience in teaching:\nPublic schools\nPrivate schools\nHospital schools of nursing U. n a\nRed Cross Home Hygiene and Care of the Sick\nOther teaching experience Reaturing\nGive names and addresses of two former employers (preferably those familiar with\nyour teaching ability(A\nthis Ell zabith for\nPresent position Divector U. n a hastrah na\nCumine W. grodrich\nas\nWhen would you be available? minebicatty HJ Sent claraes Janiad\nSignature Blauebe 7 torble\nDate March 31.1924\n17927\n2"
}