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III. EXPERIENCE
1. General experience (If necessary, use additional sheet for listing) Name & Address of
Hospital or organization City and State Nature of Work Dates Person in Charge 18
Providence City Hospital. Rhode Island 4 months 10/25 tol/26 Miss Barry
post graduate course in communicable. disease
Public Health Nunsing Assn. Rochesten, N.Y.
Staff nunse 1924-1925 Miss Mary Laird
Supervisor 1926-1927 Miss M.T.Davis
Yale School of Nursing, New Haven.
Asst. instructor 1927-1929
Conn.
Surgical Nursing
Outpatient Dept.
Miss Annie Goodrich
For teaching experience indicate: Elementary, Secondary, Normal, College, Nursing
School or other. Introductory Public Heal th Nursing- Undergraduates and
graduates-from - 1932-1942. Student experience in outpatient dept. 1927-29
Chapter
City and State Type Group Dates
Red Cross Home Nursing
(formerly Home Hygiene
and Care of the Sick)
Girl Scouts
Classes in home nursing
Schuyler County Adults
1929-32
IV. PROFESSIONAL STATUS
Registered?
Yes
Where?
New York State
To what professional organizations do you belong? American Nurses Assn. League of
Nursing Education. National Organization for Public Health Nursing.
If not an enrolled Red Cross nurse, has your application for enrollment been submitted to
your Local Committee on Red Cross Nursing Service? (Not Chapter Commituee)
When and to whom?
V. EMPLOYMENT BASIS
1. Type of work preferred: Rural
Either
Urban
2. Will you accept either?
Yes
3. What state or localities do you prefer?
England
4. When will you be available?
3 weeks notice would be necessaty
5. Can you drive a car? Yes
Do you own a car?
Yes
6. What dependents or family responsibilities do you have?
None
7. Are your credentials filed with a placement service? Yes
Which? Nurse
Placement Service, 8 South Michigan Ave, Chicago, Illinois
8. Will you accept a temporary appointment? For six months?
For one year? Yes
9. Salary expected
10. May we approach your present employer for references? Yes. (References are included
11. Do you have good health?
Yes
/in Nurse Placement Service.)
12. Have you had a recent physical examination?
Yes
/ record)
Remarks:
What training and experience have you had in the care of communicable diseases?
Was this in separate wards for patients with communicable diseases?
Following the 4. months. ostgraduate course in communicable diseases at
Providence City Hospital, my public health nursing experience has been with
agencies carrying generalized including supervision
on a program, and bedside
care of patients with communicable diseases The hospital was reserved
for
communi cable diseases. includ ing tuberculosis
Please attach a photograph' of yourself taken within the past two years.
Date april 15, 1942
Signature of Applicant
Marjay Story
(TOVO)
F
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"ocrText": "III. EXPERIENCE\n1. General experience (If necessary, use additional sheet for listing) Name & Address of\nHospital or organization City and State Nature of Work Dates Person in Charge 18\nProvidence City Hospital. Rhode Island 4 months 10/25 tol/26 Miss Barry\npost graduate course in communicable. disease\nPublic Health Nunsing Assn. Rochesten, N.Y.\nStaff nunse 1924-1925 Miss Mary Laird\nSupervisor 1926-1927 Miss M.T.Davis\nYale School of Nursing, New Haven.\nAsst. instructor 1927-1929\nConn.\nSurgical Nursing\nOutpatient Dept.\nMiss Annie Goodrich\nFor teaching experience indicate: Elementary, Secondary, Normal, College, Nursing\nSchool or other. Introductory Public Heal th Nursing- Undergraduates and\ngraduates-from - 1932-1942. Student experience in outpatient dept. 1927-29\nChapter\nCity and State Type Group Dates\nRed Cross Home Nursing\n(formerly Home Hygiene\nand Care of the Sick)\nGirl Scouts\nClasses in home nursing\nSchuyler County Adults\n1929-32\nIV. PROFESSIONAL STATUS\nRegistered?\nYes\nWhere?\nNew York State\nTo what professional organizations do you belong? American Nurses Assn. League of\nNursing Education. National Organization for Public Health Nursing.\nIf not an enrolled Red Cross nurse, has your application for enrollment been submitted to\nyour Local Committee on Red Cross Nursing Service? (Not Chapter Commituee)\nWhen and to whom?\nV. EMPLOYMENT BASIS\n1. Type of work preferred: Rural\nEither\nUrban\n2. Will you accept either?\nYes\n3. What state or localities do you prefer?\nEngland\n4. When will you be available?\n3 weeks notice would be necessaty\n5. Can you drive a car? Yes\nDo you own a car?\nYes\n6. What dependents or family responsibilities do you have?\nNone\n7. Are your credentials filed with a placement service? Yes\nWhich? Nurse\nPlacement Service, 8 South Michigan Ave, Chicago, Illinois\n8. Will you accept a temporary appointment? For six months?\nFor one year? Yes\n9. Salary expected\n10. May we approach your present employer for references? Yes. (References are included\n11. Do you have good health?\nYes\n/in Nurse Placement Service.)\n12. Have you had a recent physical examination?\nYes\n/ record)\nRemarks:\nWhat training and experience have you had in the care of communicable diseases?\nWas this in separate wards for patients with communicable diseases?\nFollowing the 4. months. ostgraduate course in communicable diseases at\nProvidence City Hospital, my public health nursing experience has been with\nagencies carrying generalized including supervision\non a program, and bedside\ncare of patients with communicable diseases The hospital was reserved\nfor\ncommuni cable diseases. includ ing tuberculosis\nPlease attach a photograph' of yourself taken within the past two years.\nDate april 15, 1942\nSignature of Applicant\nMarjay Story\n(TOVO)\nF"
}