QUESTIONS.

7. Do you consider her to be professionally qualified to 7. undertake the duties of such an appointment as she now desires?

8. Are you aware of any circumstance tending to disqualify

her for such an appointment?

9. The Secretary of State will be glad to receive any in- formation which you may have to give respecting her character or qualifications in addition to what is con- tained in the answers to the foregoing questions.

Signature.

C.

Hoadly

ANSWERS.

A.

Application for Employment as Matron

Colonies.

C. O.

Nurse in the 238.14

REC

a! JUL14) 337

Form 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.

ame in full

any

ate of Application

17. The is well qualified

to undertatos Every Post.

cofession or Occupation

Adress

8.

I do not

ather's Name

Mure Kenny is a well travied, well

qualified M...

She is lactful, well, educali

Gertrude beheater

June

19

Furse

*

-

14.

21 Chura Hill - Hoe &F Walthamstow Boxy,

Profession or Occupation

Address ...

If dead, his Name and Profession

bald nevertheless be given.

year

ay and

lace of birth

Robert Chatto

Wholesale merchant.

(Father not

of birth... Trene 30

living)

1883.

Age last birthday So

Birmingham

Single

hether single, married, or a widow'

amber of Children ... Sons

• of even temper. She ducation...

tentions the Bobocols or

Colleges at which you

has always tea well-sparived your education.

of by both Doctors o part for whom she has work

whill

the

te Co. Oberals

She is very adaptable.

Occupation, Professional Qualifications, &c.

Murses' Co-Operations.

Address 22.

Laugham St.

Date Jesus 9...

14

Lady Superin Landent

London

W.

(81,872). Wt.186-725. 500. 8/13. A&E.W

as well as

general; and give in ach case the date of ntry and leaving.

rofessional qualifi-

the

ations, and lace and date at

which each

btained

was

ployment from ompletion of edu- ation to present

inc

bation each position beld by you, the dates etween which you held and the cause of eving; and what lary you are Dow joceiving.

ppointment desired you do not apply for a rticular appointment, ou should state to what Bolonies you would go, nd what is the lowest lary that yon would josept.

Daughters

Ager respectively

Willin High

$1

School

Date of entup 1892

Learing

Three

yearo

1960

keniral bertificate obtained at the

Bristol Royal Infirmson.

June June

I entered the Hoppesai

which time que

Jun 1913- 1910 leaving

during obbáñed Myll. Mh. B. bartificiales

Bristol Royal Infirmary. Pune. 1910 to June 1963

Lives June last havi biser bursing

| 4 L (Blow). 38422–1000-10-Ď

Forum at

Margate, till

Hong Kong, Civil Hospital

i uses

[TERN OVER.

-

(J. 6.)

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