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    "label": "Storey, Marjory Burns",
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    "contentType": "document",
    "title": "Storey, Marjory Burns",
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        "Records of the American National Red Cross",
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    "coverageEndDate": {
        "day": 18,
        "logicalDate": "1942-05-18",
        "month": 5,
        "year": 1942
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    "coverageStartDate": {
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        "logicalDate": "1925-09-01",
        "month": 9,
        "year": 1925
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    "seq": 136,
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    "ocrText": "FORM 1037\n11-11-21\nTHE AMERICAN RED CROSS\nNURSING SERVICE\nApplication for Enrollment\n(To be filled out entirely in applicant's handwriting and each question answered fully)\n1.\nName of applicant in/ full Manjory Burns Story\n2. Address in full\n30 Hurtense Lt Pachester, D.Y.\nr\n3. Date of birth June II, 1898\nRace\n60.\nPlace\nof\nbirth\nBirthplace of father n.g. Stute\nn.y.state\nRachasler.n.y.\nMother\nCitizenship of father\nu.s.\n4. Are you married, single widow? Single Are\nor a\nyou a citizen of the United States?\nyes\n5. Have you any physical defects or tendency to constitutional or pulmonary trouble? no\nAre you physically strong and healthy?\nYes\n6. How many years have you attended grammar school? 6\nHigh school? 4\nNormal school?\nPrivate school?\nCollege? 4 If tutored privately, name subjects covered and length of time\n7.\nWhat languages other than English do you speak?\nGerman, Italian\n(Underline those which you speak fluently)\n8. Occupation before entering training school\n-\n9.\nCity and State Rochister n.y.\nFrom what hospital training school did you receive your diploma? Rochester Highland Hospital\nDate of graduation\n1923\nGive name at time of graduation\nmanory Story\n10. Character of hospital: General?\nX\nSpecial?\nPrivate?\n11. Did your training include obstetrics? year Care of men? yes Children? yes Contagious diseases? no\n12. Daily average number of patients in hospital during training\n140\nLength of course\n13. Name and address of superintendent of training school under whom you received training\nMiss Liflian a Douglas Highland Hospital draining School Rochester, ny\n14. If your training as a nurse was received in more than one hospital, give name, location and time spent in each\n15. Of what nursing organizations\nare you a member? Highland despital Nurses alumna asen\nDistrict nurses assen\n16. Which, if any, is affiliated with the American Nurses' Association? chenesse Dist. nurses assa\n17. Give name and address of secretary of at least one of these organizations\nMiss Read, Homosopithic Hospital, Rachester, ny Sect Geneses Districk ne & nurses assn\n18. Are you a registered nurse? year In what State? ny Date of registration Mac1,1904 Number 41979\n19. How and where employed since graduation:\nGive dates with months:\nName and address of employers:\nStags nurse. Public Health nursing\nSept. 1924- aug 1925\nMiss Mary Laird 79st Paul St.\nAssociation\nSo\nRachester, ny\n38\nVLC 200\nSX\nESAG 200 SAGL morkeg comuni\nto\n2on IPS\nso II hon 00\nClose bapge suc koa\n(Present position)\n11\n7/\n\"/\n20. Would you be willing to accept active service in case the United States were to become involved in war? yes\n21. If interested in accepting service within the near future, state-\n(a) Kind of service desired\n(b) Date upon which you will be available\n22. Are you willing to take the oath of allegiance?\nYes\n23. Name and permanent address of near relative (give rélationship) father - Mi William Storly\n30 St. Rochester ny\nDate\nSept. 4,1925\nSignature\nTo The Committee:\nof nurse majjry Story\nThis blank is to be sent to applicant with circular letter D. M. R. 7, together with Forms D. M. R. 2, 29 and A. R. C.\n703. Application forms after approval and endorsement by Local committee, with Forms 3, 4, IO and 29, should be forwarded\nthrough the Director of the Nursing Service in your Division Office to Nursing Service, American Red Cross, Washington, D.\n41,\nOTE.-Nurses who have had training or experience in Public Health Nursing will, in addition to the above\nfill out questions 24 to 31 on reverse side of this blank.\nBABTIC HEVTILH"
}