C. O.
A.
2331
NEC2
69
Application for Employment as Matron or Nurse in the Colonies. Reef O JUL 01
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
Date of Application
Profession or Occupation
Address
Father's Name
Harriet Maria Gourley.
1901.
June 23
Nurse (trained)
Moore House, Walkeringham, Gainsbro'
Henry Gourley.
Profession or Occupation
Address
If dead, his Name and Profession;
should nevertheless be given.
Farmer.
Moore House, Walkeringham, Gainsbro', Notts.
Day and year of birth...
Place of birth
Whether single, married, or a widow
Number of children
Age last birthday
January 15th 1874
Walkeringham
Single.
...
27.
Sons
Daughters
Age 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.
Miss Shelton's Ladies' School, Northolms, Saime bro'
Professional qualifications, and the place and date at which each was obtained
Employment from the time you left school to the age of 21
Employment since completion of education to present time
2 years at home
Nursing since. Fever nursing 2 years at City Hospital, Coventry. General Nursing, St Mary's Hospital, Toddington. Surgical 3½ years. 6 months at Miss Barugo, now (by Brenton) Homes, High Beach, Loughton. Salary I received £30 a year.
Mention each position held by you, the dates in it and the cause of leaving; and what salary you are now receiving.
Appointment desired
If 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.
Hong Kong Gov. Hospital.
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C. O.
A.
2331
NEC2
69
Application for Employment as Matron or Nurse in the
Colonies. Reef O JUL 01
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
Date of Application
Profession or Occupation
Address
Father's Name
Harriet Maria Gourley.
1901.
June 2326
Zurse (framed)
Moore House. Walkering ham. Gains bro:
Henry Gourley.
Profession or Occupation
Address ...
If dead, his Name and Profession;
should nevertheless be given.
Day and year of birth...
Place of birth
Farmer.
hotts.
Moore House. Walkering ham. Grains bro! Gotts.
January
Walker & ham
Whether single, married, or a widow
Number of children
15th
18874
Age last birthday 27.
Simple.
Aged respectively
Sons
Daughters
93
多少
Education
Mention the Schools or Colleges at which you received youreducation, professional as well as general; and give in each case the date of entry and leaving.
Professional qualifi- cations, and the place and date at which each was obtained
Miss Sheltonic.
Cadies school.
Northolms.
Saime bro
Employment from
time
the lives been
H home from leaving school to the age of 21
2 years
completion of edu- hursing since. Fever nursing 2
cation to present time
Mention each position
City Hospital. Coventry. General Framing. St Mary's Sataital, Toddington
Hospital Surgicalf
3242
held by you, the dates 31⁄2ytars. 6 months at Miss Barugo, now (by Brenton)
in it and the cause of Homs. High Beach. Loughton. Salary I received Sno, a year.
between which you held
leaving;
and what
salary you are now
receiving.
Appointment desired
If
you do not apply for a particular appointment, yon should state to what Colonies you would go, and what is the lowest salary that you would accept.
B & L (2500)---14647---500-3-99
(J. 6.)
Hory Krony Gov. Hospital.
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