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RECEIVED
FORM 1219
Date Auth
AMERICAN RED CROSS
AUG REV LAUG. 1941
Type of Auth.
Chapter
APPLICATION FORM
State
new Daylor
nursing
Service Hawaii
PUBLIC HEALTH NURSE
Confidential
and
nursing Service
RED CROSS HOME NURSING INSTRUCTOR
Please return
Ref
Date
I. PERSONAL
Badge (No.
Name in full Miss Wright, Thomas Elizabeth R.N., B.S.
(H.D. 4396
(MISS OR MRS.)
(IF MARRIED. GIVE MAIDEN NAME)
Not enrolled
Present address 3I77 Magnolia Corpus Christi, Texas
Tel. No. 28369
(STREET)
(CITY)
(STATE)
Permanent address
3I77 Magnolia St. Corpus Christi, Texas. Tel. No
28369
(STREET)
(CITY)
(STATE)
Date of birth Oct. 3I, I90I
Marital status
Single
(SINGLE, MARRIED. WIDOWED. DIVORCED)
White
Race
Citizenship
American Born w Bamquette Texas
II. EDUCATION
1. Prior to entering school of nursing
Diploma
Name
City and State
Dates
or Degree
Major
High School St. Mary. S. Academy Holy Cross, Ind.
Jan.3I, I938 Diploma
Normal School
or University
St. Mary's College, Notre Dame Ind. July, 29, I94I Degree Nursing Edu.
Other
2. School of nursing from which you graduated
Name
Seton Infirmary
Location Austin, Texas Date of graduation Nov .20, I922 Length of course 3. years
(CITY AND STATE)
3. Undergraduate affiliations
Length of
Hospital or Organization
City and State
Type
time spent
4. Academic study since graduation from school of nursing
College or University or
Diploma
postgraduate course
City and State No. Months or Degree
Major
I completed my high school and took all of my college work after I finnished my
Nursing course.
What courses in principles of teaching have you had? Educational Psychology for Secondary
Teachers Principles of Elem. Teaching Introduction to Edu. **Supv. of Nursing Schools.
Have you had a course in practice teaching?
Taught elementary grades for one year.
Do you hold a state teacher's certificate
No.
Where
Do you speak a foreign language?
Speak Spanish and read German and Latin.
(Over)
Page data
- Page
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- Source index
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- Type
- photo
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- 1d919ff2c264b235
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Document data
- ID
- 2662521
- Core
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- Type
- document
DTO data
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"ocrText": "For Office Use Only\nRECEIVED\nFORM 1219\nDate Auth\nAMERICAN RED CROSS\nAUG REV LAUG. 1941\nType of Auth.\nChapter\nAPPLICATION FORM\nState\nnew Daylor\nnursing\nService Hawaii\nPUBLIC HEALTH NURSE\nConfidential\nand\nnursing Service\nRED CROSS HOME NURSING INSTRUCTOR\nPlease return\nRef\nDate\nI. PERSONAL\nBadge (No.\nName in full Miss Wright, Thomas Elizabeth R.N., B.S.\n(H.D. 4396\n(MISS OR MRS.)\n(IF MARRIED. GIVE MAIDEN NAME)\nNot enrolled\nPresent address 3I77 Magnolia Corpus Christi, Texas\nTel. No. 28369\n(STREET)\n(CITY)\n(STATE)\nPermanent address\n3I77 Magnolia St. Corpus Christi, Texas. Tel. No\n28369\n(STREET)\n(CITY)\n(STATE)\nDate of birth Oct. 3I, I90I\nMarital status\nSingle\n(SINGLE, MARRIED. WIDOWED. DIVORCED)\nWhite\nRace\nCitizenship\nAmerican Born w Bamquette Texas\nII. EDUCATION\n1. Prior to entering school of nursing\nDiploma\nName\nCity and State\nDates\nor Degree\nMajor\nHigh School St. Mary. S. Academy Holy Cross, Ind.\nJan.3I, I938 Diploma\nNormal School\nor University\nSt. Mary's College, Notre Dame Ind. July, 29, I94I Degree Nursing Edu.\nOther\n2. School of nursing from which you graduated\nName\nSeton Infirmary\nLocation Austin, Texas Date of graduation Nov .20, I922 Length of course 3. years\n(CITY AND STATE)\n3. Undergraduate affiliations\nLength of\nHospital or Organization\nCity and State\nType\ntime spent\n4. Academic study since graduation from school of nursing\nCollege or University or\nDiploma\npostgraduate course\nCity and State No. Months or Degree\nMajor\nI completed my high school and took all of my college work after I finnished my\nNursing course.\nWhat courses in principles of teaching have you had? Educational Psychology for Secondary\nTeachers Principles of Elem. Teaching Introduction to Edu. **Supv. of Nursing Schools.\nHave you had a course in practice teaching?\nTaught elementary grades for one year.\nDo you hold a state teacher's certificate\nNo.\nWhere\nDo you speak a foreign language?\nSpeak Spanish and read German and Latin.\n(Over)"
}