Recommendation Form for Enrollment
This form indicates that Agnes Von Kurowsky is recommended for enrollment as a Red Cross nurse.
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OCR Page 1 of 2D-M.R.-4
THE
NURSING SERVICE
This certifies that we have known
Mrs. Miss agues knee Kurowsky
for
3
years.
That
she is a graduate of Billerne
Hospital
Training School for Nurses, is a member in good stand-
ing of the following Society Bellence
alumnae asau.
and we, the undersigned officers, do recommend her for
enrollment as a Red Cross Nurse.
Signed
Name Bmfunner
Pres.
Address Haileur Hospital
Name In. E. Rottunan
Sec'y
Address
440 E 26 St.
Is
the applicant personally known to the above
yes
Is your society affiliated with :
yes
The American Nurses' Association
yes
Your State Association ?
Date Jan
25.,4fd
Remarks
This card is to be sent direct to the Secretary of
Society of which applicant is a member, with circular
letter concerning the same (D. M. R. 6).
Req. 17-876-May-20M
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