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3. EMPLOYMENT EXPERIENCE:
State previous occupations chronologically, including military service.
5
DATES
FROM
TO
POSITION
EMPLOYER'S NAME AND ADDRESS
SALARY
a
1937
1942
General Duty
Orange memorial Hospital
$ 100
Orange n.J
E
=
+
5
e
May we approach your present employer concerning application? yes
this
B
If member of any professional organization, specify Alumnae District #, A nA
1
Red Cross.
u
(A
4. REFERENCES:
5
Give names and addresses of five persons, preferably employers, who can furnish information as to your ability,
experience, and character.
NAME
ADDRESS
*RELATIONSHIP
margaret Ashmun Rn.
Orange memorial Hospital
Director OF nume
Rachel A
orange
Orange memorial Hospital
night Supervisor
365 Lincoln Ave.
norris Higgins m. D.
orange n.J
Friend
Charles Evans mD
144 Harrison st.
orange memorial Hospital
e. Orang n.J
staFF Dector
marjorie mac Greyor
brange n.g Supervisor
*
Relationship refers to whether employer, friend, etc.
5. MILITARY STATUS:
Indicate current military status:
Retired
National Guard
I
Reserve
I
Selective Service status:
Classification
Date classification received
If deferred, until when?
NOTE CAREFULLY
Before appointment applicants must pass a prescribed physical examination.
Date Aug 21, 1942
Signature of Applicant Ina Elich Buss Day
This form should be filled in by the applicant, supplemented where desired by a written statement giving additional information as to personal qualifications,
education, and experience.
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"ocrText": "D\n3. EMPLOYMENT EXPERIENCE:\nState previous occupations chronologically, including military service.\n5\nDATES\nFROM\nTO\nPOSITION\nEMPLOYER'S NAME AND ADDRESS\nSALARY\na\n1937\n1942\nGeneral Duty\nOrange memorial Hospital\n$ 100\nOrange n.J\nE\n=\n+\n5\ne\nMay we approach your present employer concerning application? yes\nthis\nB\nIf member of any professional organization, specify Alumnae District #, A nA\n1\nRed Cross.\nu\n(A\n4. REFERENCES:\n5\nGive names and addresses of five persons, preferably employers, who can furnish information as to your ability,\nexperience, and character.\nNAME\nADDRESS\n*RELATIONSHIP\nmargaret Ashmun Rn.\nOrange memorial Hospital\nDirector OF nume\nRachel A\norange\nOrange memorial Hospital\nnight Supervisor\n365 Lincoln Ave.\nnorris Higgins m. D.\norange n.J\nFriend\nCharles Evans mD\n144 Harrison st.\norange memorial Hospital\ne. Orang n.J\nstaFF Dector\nmarjorie mac Greyor\nbrange n.g Supervisor\n*\nRelationship refers to whether employer, friend, etc.\n5. MILITARY STATUS:\nIndicate current military status:\nRetired\nNational Guard\nI\nReserve\nI\nSelective Service status:\nClassification\nDate classification received\nIf deferred, until when?\nNOTE CAREFULLY\nBefore appointment applicants must pass a prescribed physical examination.\nDate Aug 21, 1942\nSignature of Applicant Ina Elich Buss Day\nThis form should be filled in by the applicant, supplemented where desired by a written statement giving additional information as to personal qualifications,\neducation, and experience."
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