A.
Application for Employment as Matron or Nurse in the Colonies.
127
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.
NaCe in full
Date of Application
Profession or Occupation
Address
Father's Name
Mo
every
Leresu Mosian
February 19 19. 14.
Hospital
Nurse
20 Mount Pleasant Rd Stroud Green
Micheal Moylan
Profession or Occupation
Address ...
If doad, his Name and Profession
hould nevertheless be given.
Day and year of birth...
Place of birth
Blerk
4 Worfle Street. Mortlake Rumney
Tad day Mortlake Surrey
day December 1887 Age last birthday 29
Whether single, married, or a widow
Single
Number of Children
Sons
...
Daughters
Aged respectively
J
Education
Mention the Schools or
Colleges at which you
received your education. professional as well as
Wood gran
do Paulo Roman e tholil dakorla Higher Grade bahrols Wood Green, Befi- 1902 67 3.
inghgate
-
inneral; and give in Li- Pancras Infirmary February 10" 1409 - Feb 10th 19.12.
Nomers Hospital Wed-Street Brighton April 1913
each case the of ⚫ntry and leaving.
-
July 19.1
Professional qualifi- General Training St Pancras Infirmary Darthmouse Mish Vice
Highga Tendring 10m 1909- Tebring 10°
cations, and the place and date at
which each Was obtained
Employment from
19/0
B.M. B Womens Hospital West-Strest Brighton April 14.3
ssspitze of St. John & Elizabeth Gyrone and Good - John H
194' was take 9 Metta.
1909-1988
completion of edu- Rough, lax Hospital, Dean Street Soho thirteen months 1908-1 empletion of edu-l the comme Wands were stored. eation to present
time
Blution each position
held by you, the dates
It Pancras Infirmary Darthmosie Park Hill Highgali 1969-19812
Completion of training
between which you held as 19 12 till April 19-13 Private Nursing on my own.
it, and the cause of leaving and what Falary you are now receiving.
Ppointment desired |
If you do not apply for a ! particular appointment, you should state to what Colonies you would go, ! and what is the lowest Balary that you would i arcept.
Womens forfital West Street Brighton offril 19-18 till July 1913
10. M
The Capo Nuning ofsarciniion Hatto Bayer better 19.13 till storente alime
B & 1 (610)—3492-1000-10-0
(J. 6.)
Stong Song Jovernment Stospitals.
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