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Andersen, Sena

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D e 1 20 2th Form 1045 Rev. Nov. 1942 - wouxs AMERICAN RED CROSS NURSING SERVICE If you have changed your last name since Name in full Andersen Sena contacting us, please check here Tel. No nateoual 3492 (last) (first) (middle) If married, give maiden name Date of birth May 24, 1895 - Marital status Seighte Husband's name Permanent address Mass. n.w. Washington, DC (single, married, widowed, divorced) 200 are (street) (city) (county) (state) Probable address for the next year 200 Mass On n.w. Washington DC (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: andrew - 4. (name) A (relationshib) (tather) 901- Henry (address) St. Neenah, wis. Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public health Public Health nursing Bureau Health Deft Washington, Dr Industrial Private duty ni Other (write in) Government Service: Army, Regular Navy, Regular Veterans Administration Dist. 9cml. Reserve Reserve Children's Bureau Health Deft U.S.P.H. Service U.S. Indian Service MAJOR RESPONSIBILITIES Administration Teaching Private duty of present employment Supervision General staff Other (specify) If not employed, what type of nursing would you prefer to render? How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No Before entering training, how many years did you attend COLLEGE? Did you have a five-year course granting bachelor's degree? no not 5yr. come- bathma Bs. 2 years AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have- Postgraduate course in a hospital Experience in hospital 1. A postgraduate course or experience in any of the following services? (at least 3 months) (at least 6 months) Communicable disease nursing (include tuberculosis) Psychiatric nursing Operating room all Anaesthesia 2. Have you had any courses in a college or university? Less than One Two Three Four Bachelor's Master's Ph.D. M. D. one academic year year years years years degree degree degree degree 2 In what major field was above study? Public Health nursity r 3. Training and experience in the public health field: Postgraduate 4 months or more Certificate Degree Experience 6 months 6 Have you ever held a position as an air hostess? Yes No How long? Have you ever had any other air experience? Yes No Specify O (OVER) 2

Page data

Page
25
Source index
0
Type
photo
Media ID
70a9730383fee9ed
Size
unknown

Document data

ID
2661041
Core
doc
Type
document
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Context sent to Scholar

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Page context 
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    "ocrText": "D\ne\n1\n20\n2th\nForm 1045\nRev. Nov. 1942\n-\nwouxs\nAMERICAN RED CROSS\nNURSING SERVICE\nIf you have changed your last name since\nName in full Andersen Sena\ncontacting us, please check here\nTel.\nNo nateoual 3492\n(last)\n(first)\n(middle)\nIf married, give maiden name\nDate of birth May 24, 1895 -\nMarital status\nSeighte\nHusband's name\nPermanent address Mass. n.w. Washington, DC\n(single, married, widowed, divorced)\n200 are\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\n200 Mass On n.w. Washington DC\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nandrew -\n4. (name) A (relationshib) (tather) 901- Henry (address) St. Neenah, wis.\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nPublic Health nursing Bureau Health Deft Washington, Dr\nIndustrial\nPrivate duty\nni\nOther (write in)\nGovernment Service:\nArmy, Regular\nNavy, Regular\nVeterans Administration\nDist. 9cml.\nReserve\nReserve\nChildren's Bureau\nHealth Deft\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES Administration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral staff\nOther (specify)\nIf not employed, what type of nursing would you prefer to render?\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE?\nDid you have a five-year course granting bachelor's degree?\nno not 5yr. come- bathma Bs.\n2 years\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nall\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\none academic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\n2\nIn what major field was above study? Public Health nursity\nr\n3. Training and experience in the public health field: Postgraduate 4 months or more\nCertificate\nDegree\nExperience 6 months\n6\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\nO\n(OVER) 2"
}