C. O.
Referees
Give the names and addresses of two referees. They should be responsible persons who know you well, either in private life or professionally; and one at least should be well acquainted with you in private life.
Occupation 1. Name Address Miss Row Children's Hospital, Shadwell. 2. Name Mation. Rev? Leonarde Dautore. 33, Pembroke Square, Kensington Occupation Clergyman of the Church of England.COLONIAL NURSES.
10 FFE C
500
STATEMENT for the information of the Secretary of State for the Colonies, and for record in Colonial Office, respecting an applicant for the post of Nurse in the Colony
QUESTIONS. ANSWERS. names of distinguished persons should not be given unless they really know you well. Miss Elsie Schäfer. Testimonials. Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Association must be sent for record in the Colonial Office. The Copies may be either in MS, or in print; it is desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form. A. Russell Andrews, M.D., London Hospital, E. Obstetric Physician,Will you be good enough to state how long you have been acquainted with the applicant?
1. From January 1896 to present date
She was probationer and staff Nurse in this hospital for 3 years, and I have since that time seen her frequently.
2. Was she a. honest ? absolutely b. sober? ... c. generally well conducted ? ↓ 4. Was her health good? Very fairly so. She had several attacks of Influenza, but I think no other illness.If she has been employed under you, will you state the nature of her duties, and how she discharged them?
5. She was Most Conscientious, and thorough throughout all her training here.
Will you state the cause of her leaving-whether by voluntary resignation, dismissal, or otherwise?
6. She left on the completion of her 3 years course to Complete her training in general nursing elsewhere.
OVER