51 Morton Road.
Have
Referees
Give the names and ad-
dresses of two referees They should be respon. sible persons who know
you well, either
private life or pro-
1. Name Miss Gload R. R. 6. Matrow, F;
Address Military Orthopaedic Hospital.
in
Occupation
fessionally; and one
at least should be well acquainted with in private life.
you
The
Duca
ame
Road.
Shepherds Bush
sumes of distinguished 2. Name Miss V. The bonichof.
persons
not be
given unless they really
know you well.
Address
COLONIAL NURSES.
273
STATEMENT for the information of the Secretary of State for the Colonies, and for record
un
Friis q.8. Atyatt.
in the Colonial Office, respecting
who is an applicant for the post of Nurse
Matron
in the Colony of
QUESTIONS.
ANSWERS.
Sussex.
Occupation
Nie.
b. Will you be good enough to state how long you have
been acquainted with the applicant?
ta
Testimonials.
(rive the name, address, and occupation of the waiter of each of your testimoniala, Copies certified by the Colonial Nurs
Association must be sent for record in the Colonial Office. The Copies may be either in M.S. or in print; and it i desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.
From what circumstances does your knowledge of her
nise ?
1. From March 1915 1918
2. During Training
(644x)
3. While you were acquainted with her was she
(a) honest?
3.
住。
(b) sober?
D.
(c) generally well conducted?
Yes
Was her health good?
Yes.
If she has been employed under you, will you state the
nature of her duties, and how she discharged them?
bracing as
5. Three
yealo Probationer.
Will you state the cause of her leaving whether by 6.
voluntary resignation, dismissal, or otherwise f
Finished Training
(TURN OYEE,