CO129-325 - Public Offices & Others - 1904

Referees

Give the names and ad- dresses of two referees. They should be respon- sible persons who know you well, either in private life

or pro- fessionally; and one at least should be well acquainted with

you

in private life. The

1. Name Address Occupation Miss Turner. 341 Grefnd R. Mandi Private Nursing Home 2. Name Address Occupation dm & Collie The Elmis 7 Cole Avenue

names of distinguished persons should not be given unless they really know you well.

Be

C.O

COLONIAL NURSES.

30615

RECE

524

Pre 1 SEP 04

STATEMENT for the information of the Secretary of State for the Colonies, and for record in

Mi A R. Allaway.

Houg Roug Victoria Hospital

ANSWERS.

he Colonial Office, respecting-

ho is an applicant for the post of

Mabron

in the Colony of Nurse

Readin

QUESTIONS.

Testimonials. Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonist Nars Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; and it desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form. Miss A. R. Grauslin Mation Mancheste Inaler wily Iospital. And Gray. Hon. Secretary. Cottage Nurses Training Hom I. H. Hall. A.N.S. Act. Sup! Sisli Govou 8 Etal Hospital Krugersdory: Transud Yeo. E Leviss. St Col. Lali P.M. O x Cemeral Hospital Elances forteur 9. P. Collier Engre. West Grove Reading E. Jackson. Gronalle Graved. Ro Mums Reading

Will you be good enough to state how long you have been

acquainted with the applicant P

From what circumstances does your knowledge of her

arise ?

1. From to 2.

Allaway has been operative

Stazz

a Member

8

ay

While you were acquainted with her was she

a. honest ? b. sober ? c. generally well conducted ? @...... b.. Jes Yes....

Was her health good?

If she has been employed under you, will you state the

nature of her duties, and how she discharged them?

4. 5. yes. ces ar Private Nurse and also as 3 mecuber household, Ste has beau Entirely satisfactory

Voluntary resignation

Fon

state the cause of her leaving-whether by voluntary resignation, dismissal, or otherwise ?

6.

(21)

[TORN OVER.