246
Referees
Give the names and ad- dresses of two referees. They should be respon. sible persons who know you well, either in private life pro-
or
fessionally; and one at least should be well acquainted with you in private life.
The
1. Name T. Miller. B
Address British Linen Bank Bldgs. Dimmbarton
Scotland
Occupation Surgeon.
names of distinguished 2. Name Miss by. H. Vaughan
persons should not be
given unless they really know you well.
Address 27 Beesborough Gardens.
London
B.
COLONIAL NURSES.
6162
PRECS
REC 29 JAN 19
STATEMENT for the information of the Secretary of State for the Colonies, and for record
us
Friss Emily. Hurdley
in the Colonial Office, T
respecting
Matron Nurse
ho is an applicant for the post of
in the Colony of
Westminster miss bandwell. F. b. Bromwich Dis. Slow:
QUESTIONS.
Occupation Superiulendar
dast. 9. District Nurse's out, will you be good enough to state how long you have been
acquainted with the applicant?
1. From:
to.
ANSWERS.
Testimonials.
Give the name, address, and occupation of the writer of each of your testimoniais. Copies certified by the Colonial Nursing
The Copies may be either in M.S. or in print; and it Association must be sent for record in the Colonial Office. desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.
From what circumstances does your knowledge of her
arise ?
2.
(644x)
While you wore acquainted with her was she
3.
(a). honest ?
a.
(b). sober?
b.
(c) generally well conducted ?
C.
Was her health good?
4.
If she has been employed under you, will you state the
nature of her duties, and how she discharged them?
Will you state the cause of her leaving-whether by
voluntary resignation, dismissal, or otherwise?
5.
I 6.
The excline of her duten
NOLO
the Cam 2 the traditi
night dudy;
on day
Stay here + night!" duly
Luft
Thre
th
"bott day
Completion & Orari Fraining
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