A.

Application for Employment as Matron or Nurse in the

Colonies.

27240

305

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!! :* G

Name in full

Date of Application

Pression or Occupation

Address

Father's Name

Korrues Parkinson

August - 16 th

Hospital trained Nurse

16 Colorsorum Gerner. Regreto Park London NW.

Profession or Occupation

Address...

If dead, his Naine and Professiou

Sould nevertheless be given.

Joseph Parkinson.

Auditor and Accountant -

"Waliliffs" Grangs" Dish Fammarly 1909.

Late

over. Sands. Lawnchin's

ay and year of birth... til 12th 1879. Age last birthday 32

Place of birth

1. adford Yorkshire.

Eliegts

Whether single, married, or a widow

Tumber of children ... Sons

acation

Mention the Schools or Colleges at which you

meorivesi poureducation

professional as well as general; and give in each case the date of entry and leaving,

cutions, and the

Daughters

Aged respectively

35

?

I Was Educated privaisty up to 14 rass 2 agen From 1883 to 11884 Vix months at Lutzod Is forces tollsys York. Clayton fueral Hospita kaks gold

We 4th 1981

V5 gou. The Royal Retouch

epilat

Sudhu whas taal, Jory fou 1905 to April 1

Hospital. I don frome Feb. 6th to Juus 6th 1911. rofessional qualif. Tins grano susest & gesing Clapton & casof the hat Wakefald ther

from

Decsubre 1944. Massage training (private tuction / prove Dr Farrer. Herly 20 25

may to Alquiler 1909 Central Miduino Board Certifiials Augual 1911.0

Augual–1911. Staff purar of the Haggt Velots Horjulal Betfast

Here to to 1906

place and date at which each

was

obtained

Employment from

to do was runterration

6Jaur 1911

Zital. Mauchertse Jhave

completion of edu-sed per duelitils 19.stos Pool. If

loud for pre als nursing, Prove Dung: 19: Ist to to prevale wink the firdal, wher1

cation to present

time

Mention each position

held by you, the dates

etween which you held

tere very successful suir 1908, through private, and prolonal introductions

, 25

leaving; and what

salary you are now

The sad the case of X 3 years have, leads an average incomes of from £60 to 280, Life's taking Only suidwinging certificats.

receiving,

Appointment desired

you 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.

JB & I, (2500) --- 10461 ---500-7-3

(J. 6.)

đông trong

The Civil Hospital.

(TURN OVER.

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