Ask the Scholar
Page 85 of 88
I can add historical knowledge about this page.
Page image
OCR
2
D.M.R.-1
-
NURSING SERVICE
APPLICATION FOR ENROLLMENT
(To be filled out entirely in applicant's handwriting)
Earily Hanmored Smith
alive
see
1. Name of applicant in full
2.
Address
in full 661 n 179th. st herr Jack bity ny.
39
3. Date of birth
February 4th 1878
Place
of birth Beverly maccahueetts
4.
Are you married, single or a widow? single
5. Have you any physical defects or tendency to constitutional or pulmonary trouble?
Are you a citizen no of the United States? year
Are you physically strong and healthy? yes
6. Name educational institutions attended before entering training school, stating number of years at each and from which you
were
graduated Public schools in Hamilton macs. Eyrs.
Graduate from the Beverly stj school Bent mass 3yro.
7.
O.K.
8.
From what hospital training school did you receive your diploma? The l hildrens Hospital
Occupation before entering training school Clerk , office assist to
City and state Baston mass-to -
Date of graduation november
9. Character of hospital: General? chiedreno
twenty 1905
Special?
Private?
10. Did your training include obstetrics? no
Care of men?. yes
100 Children? yes Contagious diseases? 3 no
11. Daily average number of patients in hospital during training
Length
of
course
years
12.
Name and address of superintendent of training school under whom you received training sister Pusanum
present address. 1st mayauto. Louisbey Bg. Badan mass.
13. If your training as a nurse was received in more than one hospital, give name, location and time spent in each 4
mouths
mars. Basten mass.
o.k
3 mas Carey This Private Hagp Brooklin
mass.
14. Of what nursing organization are you a member?
The b hiedreus' Hospital alumnar assore Baston
15. Which, if any, is affiliated with the American Nurses Association? The alemunae aesoin
16. name and at least one
Give address of secretary of of these organizations. nurs nears Dorothy young
The Childrens' Hospital Baston
17.
Are you a registered nurse? In what state?. Bear york Date of registration. applied 30-
angline
18. State how, where and for what period of time, in each instance, you have been employed since graduation, including present
Baston two years Kelept no show Babies Summer Hospital Reasons
employment, giving name and address of persons in charge. Private nursing new your 2
Palem mars about 6 mas. Private nursing Jubuculasis Davana
Lahe ny -Do Baldevin Thru years in Dr Mays office
seattle hu D-a.H may Lumber Ex Beda Reattle Itan just
left then niu han change of hardin Children Haspital Baston
20. Would you be willing to take the oath of allegiance?
19. Should country be involved in war, would you be available for active service? yes
our
21.
What languages other than English do you speak? you Han slight knowledge granch
22. as a
23. Name and permanent address of nearest relative. Mis. Daniel 6. Smith.
Would you be interested in qualifying for Red Cross service public health nurse? not at-pricent
2310 E. 51 St. seattle hashing ton
Date may. 18th 1917
Signature. Camily Hannword smith.
This blank is to be sent to applicant with circular letter Form No. 7, together with Forms No. 2, 11, and A. R. C.
150. After approval and endorsement by Local Committee to be forwarded with credentials (Forms Nos. 3 and 4) to-
gether with Forms 10-11 to the Chairman, National Committee on Nursing Service, American Red Cross, Washington,
D. c. It is important that the papers of those interested in Red Cross Service as a public health nurse, be forwarded
to Washington as soon as possible in order that assignment to positions under the Town and Country Nursing Service
may be made without delay or the arrangements for special preparation necessary for such assignments.
REQ. 17-544-April
Page data
- Page
- 85
- Source index
- 0
- Type
- photo
- Media ID
- 8f261360f74c147b
- Size
- unknown
Document data
- ID
- 2662268
- Core
- doc
- Type
- document
DTO data
{
"id": "2662268",
"sourceUrl": "https://catalog.archives.gov/id/2662268",
"contentType": "document",
"title": "Smith, Emily Hammond",
"citationUrl": "https://catalog.archives.gov/id/2662268",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0559/40033_2421402106_0559-00966.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0559/40033_2421402106_0559-00966.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0559/40033_2421402106_0559-00966.jpg",
"imageCount": 88,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "2662268",
"label": "Smith, Emily Hammond",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/2662268"
}
Document source metadata
{
"id": "2662268",
"sourceUrl": "https://catalog.archives.gov/id/2662268",
"contentType": "document",
"title": "Smith, Emily Hammond",
"citationUrl": "https://catalog.archives.gov/id/2662268",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0559/40033_2421402106_0559-00966.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0559/40033_2421402106_0559-00966.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0559/40033_2421402106_0559-00966.jpg",
"imageCount": 88,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/2662268",
"naId": 2662268,
"coverageEndDate": {
"day": 28,
"logicalDate": "1930-07-28",
"month": 7,
"year": 1930
},
"coverageStartDate": {
"day": 27,
"logicalDate": "1917-08-27",
"month": 8,
"year": 1917
},
"levelOfDescription": "fileUnit",
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 85,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0559/40033_2421402106_0559-01050.jpg",
"mediaId": "8f261360f74c147b",
"ocrText": "2\nD.M.R.-1\n-\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nEarily Hanmored Smith\nalive\nsee\n1. Name of applicant in full\n2.\nAddress\nin full 661 n 179th. st herr Jack bity ny.\n39\n3. Date of birth\nFebruary 4th 1878\nPlace\nof birth Beverly maccahueetts\n4.\nAre you married, single or a widow? single\n5. Have you any physical defects or tendency to constitutional or pulmonary trouble?\nAre you a citizen no of the United States? year\nAre you physically strong and healthy? yes\n6. Name educational institutions attended before entering training school, stating number of years at each and from which you\nwere\ngraduated Public schools in Hamilton macs. Eyrs.\nGraduate from the Beverly stj school Bent mass 3yro.\n7.\nO.K.\n8.\nFrom what hospital training school did you receive your diploma? The l hildrens Hospital\nOccupation before entering training school Clerk , office assist to\nCity and state Baston mass-to -\nDate of graduation november\n9. Character of hospital: General? chiedreno\ntwenty 1905\nSpecial?\nPrivate?\n10. Did your training include obstetrics? no\nCare of men?. yes\n100 Children? yes Contagious diseases? 3 no\n11. Daily average number of patients in hospital during training\nLength\nof\ncourse\nyears\n12.\nName and address of superintendent of training school under whom you received training sister Pusanum\npresent address. 1st mayauto. Louisbey Bg. Badan mass.\n13. If your training as a nurse was received in more than one hospital, give name, location and time spent in each 4\nmouths\nmars. Basten mass.\no.k\n3 mas Carey This Private Hagp Brooklin\nmass.\n14. Of what nursing organization are you a member?\nThe b hiedreus' Hospital alumnar assore Baston\n15. Which, if any, is affiliated with the American Nurses Association? The alemunae aesoin\n16. name and at least one\nGive address of secretary of of these organizations. nurs nears Dorothy young\nThe Childrens' Hospital Baston\n17.\nAre you a registered nurse? In what state?. Bear york Date of registration. applied 30-\nangline\n18. State how, where and for what period of time, in each instance, you have been employed since graduation, including present\nBaston two years Kelept no show Babies Summer Hospital Reasons\nemployment, giving name and address of persons in charge. Private nursing new your 2\nPalem mars about 6 mas. Private nursing Jubuculasis Davana\nLahe ny -Do Baldevin Thru years in Dr Mays office\nseattle hu D-a.H may Lumber Ex Beda Reattle Itan just\nleft then niu han change of hardin Children Haspital Baston\n20. Would you be willing to take the oath of allegiance?\n19. Should country be involved in war, would you be available for active service? yes\nour\n21.\nWhat languages other than English do you speak? you Han slight knowledge granch\n22. as a\n23. Name and permanent address of nearest relative. Mis. Daniel 6. Smith.\nWould you be interested in qualifying for Red Cross service public health nurse? not at-pricent\n2310 E. 51 St. seattle hashing ton\nDate may. 18th 1917\nSignature. Camily Hannword smith.\nThis blank is to be sent to applicant with circular letter Form No. 7, together with Forms No. 2, 11, and A. R. C.\n150. After approval and endorsement by Local Committee to be forwarded with credentials (Forms Nos. 3 and 4) to-\ngether with Forms 10-11 to the Chairman, National Committee on Nursing Service, American Red Cross, Washington,\nD. c. It is important that the papers of those interested in Red Cross Service as a public health nurse, be forwarded\nto Washington as soon as possible in order that assignment to positions under the Town and Country Nursing Service\nmay be made without delay or the arrangements for special preparation necessary for such assignments.\nREQ. 17-544-April"
}