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FORM 1037 AMERICAN RED CROSS NURSING SERVICE REV. FEB. 1941 3628 APPLICATION FOR ENROLLMENT aton I (To be filled out in applicant's handwriting and each question answered fully) House 1. Name of applicant in full If married, give maiden name 36.28 are st Thomas Elizabeth Wright R.N., B.A. 2. Permanent address 3177 (Street) ST (City) (County) Houston Harris 3. Probable address for one year (State) Texas (Street) (City) (County) (State) 4. Name and permanent address of nearest relative or friend residing in the United States: mrs. O. n. Wright - 3177 maynolia ST Copera (Relationship) chusti Jay mother 5. Race 6. Present Marital Status 7. Citizenship 8. What languages other than English do you speak? White 1 Single Native born None Negro Married Naturalized Spanish little German little Scandinavian Other Widowed Non citizen French Polish Divorced Italian Other Catholic Sister 9. Date of birth Oct., 31, 1941 Place of birth Banqueth sexos Is Father a citizen of the Yes United States? No 10. General education (prior to entering nursing): Did you graduate from high school Yes If no, how many years of high school do you lack? No What college or university education did you have prior to entering nursing? None or less 1 year; 2 years; 3 years; Bachelors Masters PH.D. than 1 year; Degree; Degree; 11. Nursing Education: a. School of nursing from which graduated Seton 200.22 (Name) 1922 austin (City) Texas (State) Date of graduation Length of course: 25 years; 3 years; (Specify Other) b. Undergraduate affiliations: Clinical Hospital or Organization City and State specialty No. months (1) (2) (3) c. Postgraduate clinical courses (Do not include academic work or employment) Clinical Hospital or Organization City and State specialty No. months (1) (2) (3) d. Academic study since graduation from School of Nursing: College or University City and State Number of full time Number of (1) St.mary's collige Deather Dame, Ind academic years points 4 130 (2) (3) e. Check all degrees obtained Bachelors Masters PH. D. Certificate in Public Health subsequent to entering training: Degree; Degree; Nursing f. In which major field was your academic study? Institutional Public Health Non nursing (specify) Other (specify) (Over) major 1 nursing Education minor nursing Education

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    "ocrText": "FORM 1037\nAMERICAN RED CROSS NURSING SERVICE\nREV. FEB. 1941\n3628\nAPPLICATION FOR ENROLLMENT\naton\nI\n(To be filled out in applicant's handwriting and each question answered fully)\nHouse\n1. Name of applicant in full\nIf married, give maiden name 36.28 are st\nThomas Elizabeth Wright R.N., B.A.\n2. Permanent address\n3177 (Street) ST (City) (County) Houston Harris\n3. Probable address for one year\n(State) Texas\n(Street)\n(City)\n(County)\n(State)\n4. Name and permanent address of nearest relative or friend residing in the United States:\nmrs. O. n. Wright - 3177 maynolia ST Copera (Relationship) chusti Jay\nmother\n5. Race\n6. Present Marital Status\n7. Citizenship\n8. What languages other than English do you\nspeak?\nWhite\n1 Single\nNative born\nNone\nNegro\nMarried\nNaturalized\nSpanish\nlittle\nGerman little\nScandinavian\nOther\nWidowed\nNon citizen\nFrench\nPolish\nDivorced\nItalian\nOther\nCatholic Sister\n9. Date of birth Oct., 31, 1941\nPlace of birth Banqueth sexos\nIs Father a citizen of the\nYes\nUnited States?\nNo\n10. General education (prior to entering nursing):\nDid you graduate from high school\nYes\nIf no, how many years of high school do you lack?\nNo\nWhat college or university education did you have prior to entering nursing?\nNone or less\n1 year;\n2 years;\n3 years;\nBachelors\nMasters\nPH.D.\nthan 1 year;\nDegree;\nDegree;\n11. Nursing Education:\na. School of nursing from which\ngraduated\nSeton 200.22 (Name) 1922 austin (City) Texas (State)\nDate of graduation\nLength of course:\n25 years; 3 years;\n(Specify Other)\nb. Undergraduate affiliations:\nClinical\nHospital or Organization\nCity and State\nspecialty\nNo. months\n(1)\n(2)\n(3)\nc. Postgraduate clinical courses (Do not include academic work or employment)\nClinical\nHospital or Organization\nCity and State\nspecialty\nNo. months\n(1)\n(2)\n(3)\nd. Academic study since graduation from School of Nursing:\nCollege or University\nCity and State\nNumber of full time\nNumber of\n(1) St.mary's collige Deather Dame, Ind\nacademic years\npoints\n4\n130\n(2)\n(3)\ne. Check all degrees obtained\nBachelors\nMasters\nPH. D.\nCertificate in Public Health\nsubsequent to entering training:\nDegree;\nDegree;\nNursing\nf. In which major field was your academic study? Institutional\nPublic Health\nNon nursing (specify)\nOther (specify)\n(Over)\nmajor 1 nursing Education\nminor nursing Education"
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