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Form 1082
AMERICAN RED CROSS
1082
Ret 2-12-24
HOME HYGIENE AND CARE OF THE SICK
APPLICATION FOR INSTRUCTORS
file
Please fill out this form
and RETURN TO
3/2 see littertaker
Director of Instruction in Home Hygiene and Care of the Sicke
New England
Division
and 108r tate
73 Newbury St.
Boston, Mass.
to times upto
Name in full
Williams, Annie Laurie
Badge No. 23,735
(Surname first)
Address
Duxbury
Mass.
(No. & street)
(City)
(State)
Telephone number
14-4
Religion
Protestant
Date of birth
Nov. 30, 1879
Are you married, single or widow?
Single
State condition of health
Good
How many years have you attended High School? year Private School? 2 years
12 gradism school
Normal School?
College
(State degrees held)
Also check (v) those from which diploma ras received.
What languages other than English do you speak?
Serbian, some German, some Russian
(Underline those which you speak fluently)
Name of Training School
Long Islend College Hospital
Location
Boston, Mass.
Date of graduation
May 1902
Registered
New York
(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 School Nurse in N.Y. Private schools
Hospital schools of nursing
Red Cross Home Hygiene and Care of the Sick
Other teaching experience Public Health and Home Care in Russia and Serbia
Give names and addresses of tvo former employers (preferably those familiar with
your teaching ability)
Miss Ida Sufliffe (dead) Dr. Charles Staples, New York City
Present position
District Nurse, Duxbury, Mass.
when would you be available?
Signature
Annie L. Williame
Date
Jan. 26, 1923
0CT 28 1924
17927
Page data
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- Source index
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- Type
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Document data
- ID
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- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "Form 1082\nAMERICAN RED CROSS\n1082\nRet 2-12-24\nHOME HYGIENE AND CARE OF THE SICK\nAPPLICATION FOR INSTRUCTORS\nfile\nPlease fill out this form\nand RETURN TO\n3/2 see littertaker\nDirector of Instruction in Home Hygiene and Care of the Sicke\nNew England\nDivision\nand 108r tate\n73 Newbury St.\nBoston, Mass.\nto times upto\nName in full\nWilliams, Annie Laurie\nBadge No. 23,735\n(Surname first)\nAddress\nDuxbury\nMass.\n(No. & street)\n(City)\n(State)\nTelephone number\n14-4\nReligion\nProtestant\nDate of birth\nNov. 30, 1879\nAre you married, single or widow?\nSingle\nState condition of health\nGood\nHow many years have you attended High School? year Private School? 2 years\n12 gradism school\nNormal School?\nCollege\n(State degrees held)\nAlso check (v) those from which diploma ras received.\nWhat languages other than English do you speak?\nSerbian, some German, some Russian\n(Underline those which you speak fluently)\nName of Training School\nLong Islend College Hospital\nLocation\nBoston, Mass.\nDate of graduation\nMay 1902\nRegistered\nNew York\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 School Nurse in N.Y. Private schools\nHospital schools of nursing\nRed Cross Home Hygiene and Care of the Sick\nOther teaching experience Public Health and Home Care in Russia and Serbia\nGive names and addresses of tvo former employers (preferably those familiar with\nyour teaching ability)\nMiss Ida Sufliffe (dead) Dr. Charles Staples, New York City\nPresent position\nDistrict Nurse, Duxbury, Mass.\nwhen would you be available?\nSignature\nAnnie L. Williame\nDate\nJan. 26, 1923\n0CT 28 1924\n17927"
}