A.
Application for Employment as Matron or Nurse in the
Colonies.
324
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,
Jame in full
Date of Application
profession or Occupation
Address
ather's Name
telen Wilkes
August 25. 1911
Medical +
28373
RECE
Rea 29 400 IT
Surgical Nurse Midwife
The Green House, Fallow. Worcester
John Wilks.
Profession or Occupation Buyer in
Address ...
If dead, his Name and Profession
hould nevertheless be given.
Wholesale Firm.
Died 1902
Day and year of birth... Nov. 6 d
18 8 1
Place of birth
Foulder Rd. London, N.
Thether single, married, or a widow
Number of children... Sons
Single
Aged respectively
Daughters
Age last birthday
29
Mucation
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- jcations, and the place and date at which each obtained
was
from
Employment completion of edu- feation
time
General. Skinner's Company School
from Lept. 1890 to July 1899
Professional. Greenwil Gefirmon
Greenward.
from April 1900 to may. 1906
Medical & Surgical Nurse. Greenwiel Infigner 1906 Midwife. Greenwich Enfirmary. betober and ay su
day
District Nurke (Queens) Jam ist 1910. Trained at
Worcester Nursing If it
Sister at Greenwiel Enfirmary from Lept. 1906 to August 1987. Left to murke a thick relation to present Poloate nursing. Gloucester Terrace Hurking.
Association. from. Nov. 1907 to May 1909.
to take up Diston of ursing District nursing. Worcester!
Mention each position held by you, the dates between which you held
it, and the cause of having; aud what salary you are now mceiving.
Appointment desired
If you do not apply for a particular appointment, you should state to what Colonies you would go, and what is the loweal sulary that you would accept.
[B & L (2504) ––10461---500-7-3
(J. 6.)
from June 1909 to present time.
Salary
Sourding Left
44
sing
Institute
at present received £60 per annua
Civil Hospital
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