A
Application for Employment as Matron or Nurse in the
267
Colonies.
Form to be filled up by the Applicant herself, and sent to the Private Secretary to the Secretary
State, Colonial Office, London, by the Colonial Nursing Association, A
Name in full
Date of Application
Profession or Occupation
Constance Helen Barrow R
July.
1904
1419
@ APR 05
Nursing Sisten. S. Georges Hospital.
Address Present The Nuses Home. Montpelier St Knightsbrid
Hilo Homi
Father's Name
heartton Vernace Leigh on sea sss EDC
Robert Knapp Barrow-
Profession or Occupation Lalė major. 57° Regiment Col: Sec G. Coast;
Address ...
If dead, his Name and Profession!
should nevertheless be given.
Day and year of birth.......
Place of birth
Sept 19. 1872.
Hampton Court.
Whether single, married, or a widow
Number of children
Education
Mention the Schools or Colleges at which you received your education, professional as well as general; and give in each use the date of
entry and leaving.
Sons
Daughters
Surigle
Aged respectively
وو
وو
Age last birthday
39
elc.clé
5. Stephen's College. Clewen. Weridsor.
Professional qualifi-n189b. till 1898. Assistant huse al-Savioms cations, and the Hospital Gsnaburgh Street London.
place and date at
which each was from 1898 lill present time Sister. S. Georges Hospi
obtained
Employment from
completion of edu-
Since 189 & I have been in training for
estion to present Hospital Rumba in & Saviour's, and S. George's
time
Mention each position held by you, the dates between which you held it, and the cause of leaving; and what alary you are NOW receiving,
Appointment desired
yon do not apply for a particular appointment, you should state to what Colonies
you would go, and what is the lowest salary that you would accept.
B & 1, (2500) – 10461--500-7-3
(J. 6.)
Hospital.
The present Salary I am having io to
Nursing Sester. Civil Hospital
Hory Kory.
[TURN OVER.