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7
A. R. C. MAIL ROOM
Form 1082
AMERICAN RED CROSS
RECEVED
Rev. 2-12-24.
HOME HYGIENE AND CARE OF THE SICK
APPLICATION FOR INSTRUCTORS
1926
Please fill out this form
Referred to Bater
and RETURN TO
Director of Instruction in Home Hygiene and Care the
of, Sick, En."
Re
Virginia 1852
Name in full
:
Williams Mary E.
Badge NO Patabama 1258
Address Box 314
(Surname first)
Tuskegee Institute, Alabama
(No. & street)
(City)
(State)
Telephone number
609
Religion Episcopalian
Date of birth Mar. 3,1894
Are you married, single or widow? single
State condition of health
excellent
How many years have you attended High School?
4
Private School?
Normal School?
4
College?
1 &one half years
Please check ( ) those from which diploma was received. High School
(State degrees held)
What languages other than English do you speak?
none
Location Hospital, Richmond, Va. curred Heap-
Name of Training School Richmond Underline those which you speak fluently)
Richmond, Va.
Date of graduation April 25, 1915
Registered Virginia and Alabama
(State)
Special course in teaching
Public Health at Simmons College
(Name and location of school)
Length of course
3 mos.
Do you hold State teacher's certificate?
none
State experience in teaching:
Public schools 4yrs High School Private schools 5yr. Tuskegee Institute
Hospital
schools of nursing 5 yr S,John A. Andrew Hospital,
"
Red Cross Home Hygiene and Care of the Sick
(home nursing to Home Economies
Other teaching experience
Give names and addresses of two former employers (preferably those familiar with
your teaching ability)
Mr. W. M. Adams, Prin. Navy Hill School, Richmond, Va.
Mr.j. H. Binford, Ass't Supt. City Schools, Richmond, Va.
Present position Director of Health Center Work, Tuskegee Institute, Ala.
When would you be available? Now
Signature R.M
DateNovember29, 1926
DEC 8 1926
17927
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"ocrText": "7\nA. R. C. MAIL ROOM\nForm 1082\nAMERICAN RED CROSS\nRECEVED\nRev. 2-12-24.\nHOME HYGIENE AND CARE OF THE SICK\nAPPLICATION FOR INSTRUCTORS\n1926\nPlease fill out this form\nReferred to Bater\nand RETURN TO\nDirector of Instruction in Home Hygiene and Care the\nof, Sick, En.\"\nRe\nVirginia 1852\nName in full\n:\nWilliams Mary E.\nBadge NO Patabama 1258\nAddress Box 314\n(Surname first)\nTuskegee Institute, Alabama\n(No. & street)\n(City)\n(State)\nTelephone number\n609\nReligion Episcopalian\nDate of birth Mar. 3,1894\nAre you married, single or widow? single\nState condition of health\nexcellent\nHow many years have you attended High School?\n4\nPrivate School?\nNormal School?\n4\nCollege?\n1 &one half years\nPlease check ( ) those from which diploma was received. High School\n(State degrees held)\nWhat languages other than English do you speak?\nnone\nLocation Hospital, Richmond, Va. curred Heap-\nName of Training School Richmond Underline those which you speak fluently)\nRichmond, Va.\nDate of graduation April 25, 1915\nRegistered Virginia and Alabama\n(State)\nSpecial course in teaching\nPublic Health at Simmons College\n(Name and location of school)\nLength of course\n3 mos.\nDo you hold State teacher's certificate?\nnone\nState experience in teaching:\nPublic schools 4yrs High School Private schools 5yr. Tuskegee Institute\nHospital\nschools of nursing 5 yr S,John A. Andrew Hospital,\n\"\nRed Cross Home Hygiene and Care of the Sick\n(home nursing to Home Economies\nOther teaching experience\nGive names and addresses of two former employers (preferably those familiar with\nyour teaching ability)\nMr. W. M. Adams, Prin. Navy Hill School, Richmond, Va.\nMr.j. H. Binford, Ass't Supt. City Schools, Richmond, Va.\nPresent position Director of Health Center Work, Tuskegee Institute, Ala.\nWhen would you be available? Now\nSignature R.M\nDateNovember29, 1926\nDEC 8 1926\n17927"
}