A.
137
Application for Employment as Matron or Nurse in the Colonies.
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
Isabel Mela Dewar.
19.13.03
Busse
19 Lansdown Place. Hove · Susury.
Profession or Occupation
Address...
If dead, his Name and Profession
should nevertheless be given.
Day and year of birth......
Place of birth
Campbell Tullock. Dewar.
Dr.
Stewart batte. Duncans P. O. Jamaica
W.9.
19 October 1878 Age last birthday Hampden. Jamaica. W. I
single
Whether single, married, or a widow
Number of children ✪. Sons
Education
Mention the Schools or
Colleges at which
received
professional as well as
Daughters
Aged respectively
33
25
24
Sen Jork 1887 - 1889. Batte 1990-93
Americarei folk
fusive poureducation, Sondon & Brighton 1893-1895 Switzerland general; and give in 1896--glo. Subsed bo. Hospital 1897--1900,
Moorefield By H. A lat 1400 of daily of so
each case the date of entry and leaving.
cations, and
is months
be tropital lege
Professional qualifi- three years funeral tonno ad alising Hours
place and date at
at for off- Royal souston. Opliticaluite tespilers
1 year's certificate lique-01. didwifery bety of soudton wing in Hossiclas certificall, the £. 0.5 urtificate 4 July 1902.
Missing Home 5 minulle?
which each
obtained
Was
Employment from
Jussing
completion edu- bo
cutition of can: Susses do. Hospital. Cap pakend Sicht for
time
present
holiday duly on mout
Mention, each position Moorfield's Hospital. Staff
held by yon, the dates
between which you held Present Salary £32.
, and the cause of
leaving; and what
salary you are DOW
receiving.
ppointment desired
If you do not apply for a
particular appointment, Jou should state to what Colonies you would
go,
and what is the lowest Balary that you would
ccept.
make for out
year..
shurney
live
my Hospitals who my
Left all my
was up but for no other cauce.
L (2506)—14647---500-3-99
Civil Hospital
Hory Kory
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