A.
Application for Employment as M
Colonies.
Nurse in the
REGP
Roof 10 JAN 12
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
Edith Kate Kelsey
7.1. 12.
Nurse
168
London Hospital. White@hapel Rel.
William Rabaey
Profession or Occupation Tales man
Address ...
If dead, his Name and Profession
should nevertheless be given.
4. North St. Havant, Hants.
Day and year of birth... 21st January 1881 Age last birthday 30.
Place of birth
Langstone. Mr. Havant. Hants.
Whether single, married, or a widow
Number of children
Education
Mention the Schools or
Colleges at which you received your education, professional as well as
Sons
Daughters
Single
Aged respectively
11
Havant School 1887
general; and give in 9. May 1900 ·
each case the date of entry and leaving.
To 1894.
The City Sanatorium. Centerbrony 19. May 1900. left 19 May. 1906. London Hospital. White chapel. 1906 to 1912. Professional qualifi-Lever training Certificate. 1903 Canterben place and date at our years general Certificate, Loneton Hospital
Was Mariage certificate. London Hospital 1910. ofer London Hoefsted 1908.
cations, and the
which each Sobtained
Employment from completion of edu- cation to present | time
Your
May. 1900. Two years Lever training
1903. Staff nurse for three years 1905. Lister taking Mation's duters when required for two years. Left to
tention each position Lonaton Hospital.
held by you, the dates between which you held
fit, and the cause of
leaving; and
salary you are receiving.
what
now
ppointment desired
if you do not apply for a particular appointment, yon should state to what Colonies you would go, ad what is the lowest aslary that you would
ecept.
مو
The
May 1986. Four years training London Hoefrital. Whitechapel Rd. 1910 Private Morning whetical.
where I am no
in connection with London Hospital. Salary £50.
1--500-7-3
Hong Kong Culch Hospital.
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