A.
Application for Employment as a Nurse Gn the Colonies.
15403
Form to be filled up by the Applicant herself, and sent to the Private Secretary tartak Secretary
State, Colonial Office, London, by the Colonial Nursing Association.
Name in full
Dat of Application
Profession or Occupation
Address
Father's Name
20 MAY 12:
Winnifred Louisa Everingham
6.
1912
221
may 16th Kaund Hospital Muse
Gloucester Road Kingston Will Allurt Downing Everingham
Profession or Occupation East Indian muchant
Address ...
If dead, his Name and Profession
should nevertheless be given.
Day and year of birth...
Place of birth
Dead.
September 16th 1849 Age last birthday 31 years 11. Palace Gardens Terrace Kensingtow
Whether single, married, or a widow
Number of children
Sons
Daughters
Single
Aged respectively
Education
Mention the Schools or Colleges at which you received your education, professional as well as general; and give in each case the date of entry and leaving.
Resident Governess
Private Ladies School at Hawochs
rofessional qualifi- Childrens Hospital Shadwell East London for feat cations, and the 1899 To 1903
place and date at which each was obtained
4
mployment from completion of edu-
From
St. Georges Hospital Hyde Park Corner London Sw fio 1909 to 1906
Thur
a. Muuse
on completion of my Training I entered the every daming Serie
mouth, becaux I did not like the work. Holiday duy at The Sineral Hofitat ation to present Bournemouth as nj4- Sup: Purali nursing for. 8. mouth
2. year at the Infant Sofitel Vicent-Spare as
Might Superblendent - left here to get ry Co. B. I only held the position, araway.
th the above Hooperated lift when
Sime
Mention each position
held by you, the dates Between which you held
t, and the cause of
Baving i
and what
alary you are now receiving.
pointment desired
you do not apply for a articular appointment, en should state to what Bolonies you would go,
d what is the lowest
lary that you would
Beept.
I. (2506) -10481-500-7-3
(J. 6.)
bolt
my couse of braming
complete
com not reiving any Eelay now
Hong Kong Culich Hesitat
(TURN OVER.