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Form 1037
Rev. May, 1939
NAVE CARDS MADE
THE AMERICAN RED CROSS NURSING SERVICE
APPLICATION FOR ENROLLMENT
(To be filled out in applicant's handwriting and each question answered fully)
2
1. Name of applicant in full
CatheRine hillian Whyte
Date of birtht July 63 1913
(Month) (Day) (Year)
2. Permanent address 28 chambers Street
If married, give maiden name single
PRINCetoN
N.J
(Streat)
(City)
(State)
Probable address for one year Studio Club, 210 ky St, new YORK City ad.or
(Street)
(City)
(State)
3. Race white Place of birth PRINCetoN
Marital status Sungle.
(single, married, widowed or divorced)
Birthplace of father PRINCCTON, N.J Mother of father AMERICAN
Are you a citizen of the United States? yes
4. GENERAL EDUCATION (prior to entering nursing) :
No. of years
Did you graduate?
attendance
Yes or No
High School
4 yrs
yes
Normal schocl
College or University
geoRgian Court College
NO
Other YoRK UNIVERSITY
heroox Hill School of Nursing
yes
What languages other than English do you speak? NONE
:
(Underline those which you speak fluently)
5. PROFESSIONAL EDUCATION:
a. School of Nursing from which you graduated:
LeNox Hill School (Name) of NURSING
New (Ciff your City
N.Y.
(State)
Date of graduation MAR I, 1936
Length of course
3 yrs
general
Daily Average
Character of hospital General or special
No. of patients
600
during training
In this hospital, which services did you receive experience in as segregated services (underline) :
Eye, Ear Communicable
Outpatient
Medicine-Surgery-Pediatrics - Obstetrics - Nose & Throat Diseases Psychiatry - Department
In this hospital, which services did you receive experience in as non-segregated services (underline)
:
Eye, Ear
Communicable
Outpatient
Medicine-Surgery-Pediatrics-Obstetrics-Nose & Throat--Diseases-Psychiatry- - Department
b. Undergraduate affiliations:
Clinical
Hospital or Organization
City and State
specialty
No. months
(1) ReuRological Institute
n.4. C.
3
(2)
600
(3)
ywo
c. Postgraduate clinical or field courses (Do not include academic work).
Clinical
Hospital or Organization
City and State
specialty
No. months
(1) MARg Haque MAt. Hosp Jersey City, N.J. obs
6
(2)
(3)
d. Academic study since graduation from Nursing School.
College or University
City and State
Nature of work
No. months
(1) New YORK University
n.4.c
public health
Studying now
(2)
(full home)
VMD
(3)
82311
Page data
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- 92
- Source index
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- Type
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- Media ID
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Document data
- ID
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- Core
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- Type
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"ocrText": "Form 1037\nRev. May, 1939\nNAVE CARDS MADE\nTHE AMERICAN RED CROSS NURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out in applicant's handwriting and each question answered fully)\n2\n1. Name of applicant in full\nCatheRine hillian Whyte\nDate of birtht July 63 1913\n(Month) (Day) (Year)\n2. Permanent address 28 chambers Street\nIf married, give maiden name single\nPRINCetoN\nN.J\n(Streat)\n(City)\n(State)\nProbable address for one year Studio Club, 210 ky St, new YORK City ad.or\n(Street)\n(City)\n(State)\n3. Race white Place of birth PRINCetoN\nMarital status Sungle.\n(single, married, widowed or divorced)\nBirthplace of father PRINCCTON, N.J Mother of father AMERICAN\nAre you a citizen of the United States? yes\n4. GENERAL EDUCATION (prior to entering nursing) :\nNo. of years\nDid you graduate?\nattendance\nYes or No\nHigh School\n4 yrs\nyes\nNormal schocl\nCollege or University\ngeoRgian Court College\nNO\nOther YoRK UNIVERSITY\nheroox Hill School of Nursing\nyes\nWhat languages other than English do you speak? NONE\n:\n(Underline those which you speak fluently)\n5. PROFESSIONAL EDUCATION:\na. School of Nursing from which you graduated:\nLeNox Hill School (Name) of NURSING\nNew (Ciff your City\nN.Y.\n(State)\nDate of graduation MAR I, 1936\nLength of course\n3 yrs\ngeneral\nDaily Average\nCharacter of hospital General or special\nNo. of patients\n600\nduring training\nIn this hospital, which services did you receive experience in as segregated services (underline) :\nEye, Ear Communicable\nOutpatient\nMedicine-Surgery-Pediatrics - Obstetrics - Nose & Throat Diseases Psychiatry - Department\nIn this hospital, which services did you receive experience in as non-segregated services (underline)\n:\nEye, Ear\nCommunicable\nOutpatient\nMedicine-Surgery-Pediatrics-Obstetrics-Nose & Throat--Diseases-Psychiatry- - Department\nb. Undergraduate affiliations:\nClinical\nHospital or Organization\nCity and State\nspecialty\nNo. months\n(1) ReuRological Institute\nn.4. C.\n3\n(2)\n600\n(3)\nywo\nc. Postgraduate clinical or field courses (Do not include academic work).\nClinical\nHospital or Organization\nCity and State\nspecialty\nNo. months\n(1) MARg Haque MAt. Hosp Jersey City, N.J. obs\n6\n(2)\n(3)\nd. Academic study since graduation from Nursing School.\nCollege or University\nCity and State\nNature of work\nNo. months\n(1) New YORK University\nn.4.c\npublic health\nStudying now\n(2)\n(full home)\nVMD\n(3)\n82311"
}