Bichunmagy
B.
1
299
COLONIAL
NURSES.
STATEMENT for the information of the Secretary of State for the Colonies, and for record
Address
Chifcren's Rest Congabscent Home
Roe have ston
Ew
in the Colonial Office, respecting Buss Dr. Worch.
who is an applicant for the post of Matron
in the Colony of... Nurse
QUESTIONS.
Occupation
Nation.
Testimonials.
Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Nursing
Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; and it desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.
1. Will you be good enough to state how long you have been
acquainted with the applicant?
2. From what circumstances does your knowledge of her
arise ?
(27F)
ANSWERS.
1. From
to
2.
April 19.0 aprie 25.4
1912
School
She was trained, in The London Hospital, Schant for hurses,
3. While you were acquainted with her was she
3.
(a). honest?
Yes
(b). sober?
b.
(c). generally well conducted?
C.
4. Was her health good?
5. If she has been employed under you, will you state the
nature of her duties, and how she discharged them ?
Will
5.
yes.
She is a competent Medical & Surgical muse. She also holds The Co. M. B Certificate
re brought back excellent
you state the cause of her leaving-whether by 6. voluntary resignation, dismissal, or otherwise?
reports, when
on Privales.
sewing
Voluntary resignation
To reel work abroad,
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