QUESTIONS.
ANSWERS.
7. Do you consider her to be professionally qualified to undertake the duties of such an appointment as she now desires?
7. "Must certainly
8. Are you aware of any circumstance tending to disqualify her for such an appointment?
C.O.
Form of Application for Employment as Matron or Nurse in the Colonies.
504
D
To be filled up by the Applicant herself, and sent to the Private Secretary to the Secretary of State, Colonial Office, London, by the Colonial Nursing Association.
Form of Application
8. Profession or Occupation
Nurse.
Applicant's Name: Mary Anne Len...
Born Feb 1903.
Trained Nurse.
Mill Road Infirmary, Liverpool.
John Lee.
Profession or Occupation: Furniture Dealer.
Address: Deal.
9. The Secretary of State will be glad to receive any information which you may have to give respecting her character or qualifications in addition to what is contained in the answers to the foregoing questions.
Signature...
9. She is a most excellent nurse, & high principled ... much liked when busy. She goes for her bright Kind, reliable character.
Annie Mary Cosser (Miss)
Occupation, Professional qualifications, &c.: Nurse.
Address: 33 Grand Parade, Brighton.
Date: 6 February 1903
W B & L (3845)~--45060–18
...dead, his Name and Profession nevertheless given.
Year of birth: ...byth June 184... Age last birthday: 58
Place of birth: Somerset.
Combe Down.
Whether single, married, or a widow: Single.
Number of children: Sons ... Daughters ...
Where educated: The Schools or Institutions.
Aged respectively: ...
Fredcombe School, Bath about 187...-1975. Education: Combe Down School, 1873 until 1877.
Ages at which you entered and left: ...
Professional as well as general education: Kingsmead School, Bath, 1847. 1575.
And the Medical & Surgical Training, trained at: Leeds Infirmary.
Date at which you were trained: ...
Infirmary 5. 6. & diploma.
Mental Nurse at Mill Road County Asylum, Liverpool. Course of education from 1889 until 1894.
Employment from ... to present: Leeds Union Infirmary 1895 until 1898. My last position: Royal United Hospital, Bath private duty.
Dates on which you held and the cause of leaving: ...
7. What you are now doing: ...
3. Now on the Continent desired: Government Civil Hospital
Do not apply for a particular appointment, but state to what part of the world you would go, that is the lowest salary you would accept.
From 1895 until 1900. Mill Road Infirmary, Liverpool.
Assistant Matron: 1900 until present time.
(+2506)---14847–500-3-99 (J. 6.)
Strongly recommended
[TURN OVER.
Page 510
Page 511