C. O.
Referees
Give the names and addresses of two referees. They should be responsible persons who know you well, either in private life or professionally; and one at least should be well acquainted with you in private life.
Occupation 1. Name Address Miss Row Children's Hospital, Shadwell. 2. Name Mation. Rev? Leonarde Dautore. 33, Pembroke Square, Kensington Occupation Clergyman of the Church of England.COLONIAL NURSES.
10 FFE C
500
STATEMENT for the information of the Secretary of State for the Colonies, and for record in Colonial Office, respecting an applicant for the post of Nurse in the Colony
QUESTIONS. ANSWERS. names of distinguished persons should not be given unless they really know you well. Miss Elsie Schäfer. Testimonials. Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Association must be sent for record in the Colonial Office. The Copies may be either in MS, or in print; it is desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form. A. Russell Andrews, M.D., London Hospital, E. Obstetric Physician,Will you be good enough to state how long you have been acquainted with the applicant?
1. From January 1896 to present date
She was probationer and staff Nurse in this hospital for 3 years, and I have since that time seen her frequently.
2. Was she a. honest ? absolutely b. sober? ... c. generally well conducted ? ↓ 4. Was her health good? Very fairly so. She had several attacks of Influenza, but I think no other illness.If she has been employed under you, will you state the nature of her duties, and how she discharged them?
5. She was Most Conscientious, and thorough throughout all her training here.
Will you state the cause of her leaving-whether by voluntary resignation, dismissal, or otherwise?
6. She left on the completion of her 3 years course to Complete her training in general nursing elsewhere.
OVER
C. O.
Referees
Give the names and ad- ¦
dresses of two referees. They should be respon- sible persons who know you well, either in private life or pro- fessionally; and one
at least should be well acquainted with
you!
in private life. The
Occupation
1. Name
Address
Miss Row
Children's Hospital. Shadwell. 2..
Mation.
COLONIAL NURSES.
10 FFE C
500
STATEMENT for the information of the Secretary of State for the Colonies, and for record in
lonial Office, respecting
an applicant for the
post of
QUESTIONS.
Miss Elsie Schäfer.
in the Colony of Nurse
Hory Kory
ANSWERS.
names of distinguished 2. Name Rev? Leonarde Dautore.
persons should not he
given unless they really
know you well.
Testimonials.
Address
33. Rembroke Square. Renanigin
Occupation Cleryman of the Church of England.
Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial
Association must be sent for record in the Colonial Office. The Copies may be either in MS, or in print; a desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.
(6820)
A. Russell. Andrews. M.D.
London Hospital. E.
Obstetric Physician,
you be good enough to state how long yon have been quainted with the applicant?
what circumstances does your knowledge of her
1. From
2.
to
January 1896
present date
She was probalimes and staff Murse in this topital for years, and thave onice that time seen bas frequently.
aboslulety
le you were acquainted with her was she
3.
2. honest ?
a.
b.
b. sober?
.*..
c. generally well conducted ?
↓
her health good?
4.
مفستا
Very fairly so. She had several times, but I think no other illuen
Influenza
he has been employed under you, will you state the
ture of her duties, and how she discharged them ?
5.
She was
Most Conocier
trous, and thoroughe throughout all her tanning
here.
you state the cause of her leaving-whether by plantary resignation, dismissal, or otherwise?
a. She left
on the completini
her 3 years course to Complete her traming u general nursing elsewhere.
OVER,
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