A.

Application for Employment as Matron or Nurse in the Colonies.

321

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.

Name in full

e of Application

Jessica Elivalet March 1410

1919

Profession or Occupation Nurse

Address

Father's Name

Wootten

17 ayudemode Ad. Cambridge

James A. Worten

Profession or Occupationienteman Farmer

Address...

If dead, his Name and Profession

hould neverthelens be given.

Sienteman Farmer (retired).

md cantowner.

17 Lyndewide red. Cambridge

ay and year of birth... camber 14th

Zace of birth Combidge

Thether single, married, or a widow

Sumber of children.

ducation

Tention the Schools or Colleges at which you aceived youreducation, rofessional as well as eneral; and give in: ach case the date of

butry and leaving,

Sons

Daughters

*F$

Age last birthday 35

Single

Agal respectively

| yolls. Noench's Schose Per

1890

A97

Canto school. Cannidhe, 1897 -1908.

The Middlesex Hospital. aondon. 1905-1914

ofessional qualifi-Ceificated nurse

ations, and the

dare and date at Cafed Midwife

Thich each

btained

Ame

was

-

-

1913

1913

любому норла

His denx Hospital

Charge morze Os. Febric ward riddlesex Hospital from Aug. 1918

Hoy 19104

ployment from mpletion of edu- Exer sites. Misdeux topiat. May 1914- ation to present oned

Jug. 1914. because appointed Nuvemy Sister in 2.A.M.N.FI. Søter i 2.A.M.N.SI. Sept. 1914 - Tarch 1917.

oop themant Square. I afterned the caused y

ution each position

eki by you, the dates Case of bearing. I'll how the

between which you held

And the cause of

baving i and

+

from moved in 2. 4.

A

what won Red &. Hospital. Swanton. Norfolk for 1917

lary you are now

ceiving.

pointment desired

you

do not apply for a particular appointment, ou should state to what

Colonies you would go, al what is the lowest Mary that you would

* £ (2500) –10481-500-7-3

(J. 6.)

Cesigner

order capt

-

Spoitment in Lisbon (C.N.A)

teo mi raccident foot johnet, four – Obliged brand fr

that 3 months had done some private troming shi- (Resives Hooper Au.um al

Stong Kong Civil Sospital

[TURN OVER.

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