N.B.--No woman need apply who is not prepared to offer her services for

the duration of the war and to take up work wherever she is required.

1. Name in Full (Mrs. or Miss).

2. Permanent Postal Address.

2a. State nearest Railway Station.

3. Surname at birth, if different.

4. For what work do you offer your services? State your

qualifications for this work. (The occupations for which women are

required are set out in the accompanying leaflet.)

5. Are you willing to serve:--

(a) At Home and Abroad as may be required.

(b) At Home only.

6. If selected and enrolled how many days' notice will you require before

your services are available?

7. Age and date of birth.

8. Place and Country of Birth.

9. Nationality at Birth.

10. Present Nationality

(if naturalised give date).

11. Whether single, married or widow.

If married state number of children,

(a) under 12 years old.

(b) " 5 " "

12. If not single state Nationality of Husband.

(a) Is your husband serving with the Forces?

(b) If so, where?

13. Father's Nationality at Birth.

14. Mother's Nationality at Birth.

15. Father's Occupation.

16. State school or college where educated.

At what age did you leave School?

17. Particulars of any other Training, stating Certificates held.

18. (a) Name and Address of your present employer

(_see Note on other side_).

N.B.--(The employer will not be referred to unless he is given as a

reference under paragraph 20 below.)

(b) Nature of his business.

(c) Capacity in which you are employed.

(d) Length of your service with him.

(e) Salary which you are now receiving.

19. Previous business experience (if any) giving dates, salaries

received, and names of Employers.

20. Give below for purposes of reference the names of two or more

British householders with their permanent addresses, one of whom

should be, if possible, your present or previous Employer, a Teacher,

a Town Councillor, Mayor or Provost, Justice of Peace, Minister of

Religion, Doctor or Solicitor, who has known you for two or more

years, but is not related to you. One of the references must be

a woman.

(a) Name.

Profession or Occupation.

Address.

(b) Name.

Profession or Occupation.

Address.

(c) Name.

Profession or Occupation.

Address.

An offer of Service can in no way be regarded as a final enrolment.

_I hereby declare that the above statements are complete and correct to

the best of my knowledge and belief_.

_Date_ ___________ _Usual Signature_ ____________

This Form should be filled in by the Applicant and returned

to:--Employment Exchange _________________________

* * * * *

NOTE.

Women who are already engaged in any of the following occupations will

not be accepted unless they bring with them a letter from their Employer

or Head of Department stating that they have permission to volunteer:--

(i) Government Service.

(ii) Munition work.

(iii) Work in a Controlled Establishment.

(iv) Full-time work in an establishment engaged on contract

work for a Government Department.

(v) V.A.D. Military Hospitals and Red Cross Hospitals.

(vi) School Teaching.

(vii) Local Government Service.

No woman who is a National Service Volunteer or is employed in

Agriculture will be accepted.

N.B.--Applicants are urged not to give up any present employment until

they are called upon to do so.

(Part of the application form used in England by the

Women's Land Army.)

* * * * *

WOMEN'S LAND ARMY

* * * * *

CONDITIONS AND TERMS.

There are three Sections of the Women's Land Army.

(1). AGRICULTURE.

(2). TIMBER CUTTING.

(3). FORAGE.

If you sign on for A YEAR and are prepared to go wherever you are sent,

you can join which Section you like.

YOU PROMISE:--

1. To sign on in the Land Army for ONE YEAR.

2. To come to a Selection Board when summoned.

3. To be medically examined, free of cost.

4. To be prepared if PASSED by the Selection Board to take up work

after due notice.

5. TO BE WILLING TO GO TO WHATEVER PART OF THE COUNTRY YOU ARE SENT.

THE GOVERNMENT PROMISES:--

1. A MINIMUM WAGE to workers of 18/- a week. After they have passed

an efficiency test the wages given are £1 a week and upwards.

2. A short course of FREE INSTRUCTION if necessary.

3. FREE UNIFORM.

4. FREE MAINTENANCE in a Depôt for a term not exceeding 4 weeks if

the worker is OUT OF EMPLOYMENT through no fault of her own.

5. FREE RAILWAY travelling, when taking up or changing Employment.

Mobilizing Woman-Power · 第 9 / 9 段