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to ? itter + RED CROSS BADGE NUMBER 5 AMERICAN RED CROSS 80,017 NURSING SERVICES MILITARY SERIAL NUMBER N-744035 ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED H NAME (Last, first, middle) TELEPHONE NO. 2037W Britton Ida Maude a IF MARRIED, GIVE MAIDEN NAME HUSBAND'S NAME a PERMANENT ADDRESS (Street, city, zone, county, state) 403 East 4th St. Hastings, Mid-Western Area, Adams CO., Nebraska. PRESENT ADDRESS (Street, city, zone, county, state) Same as bove M NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES RELATIONSHIP John A. Britton Same address. Father a DATE OF BIRTH (Month, day, year) Single Yes Marryed Separated Widowedx XD1 vorced April 8. 1910 & YES NO WHAT LANGUAGES DO YOU SPEAK? English Know a little French, and German HIGH SCHOOL GRADUATE X a NAME OF COLLEGE OR DEGREE OR UNIVERSITY ATTENDED LOCATION INCLUSIVE DATES MAJOR C DIPLOMA State Teachers' College Kearney, Nebr. 1928-1930 Junior Diploma Education Hastings, Nebr. 1938-1939 B.A. Nursing Hastings College Working on M.A. In Uni, of Chicago Chicago, Ill. Summer 1939 Nursing Education ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? X - Nebraska and in NURSES' ASSOCIATION? X - Mani 00 Dd PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) SERVICE (Medicine, surgery, etc.) Office nurse General practive. CITY STATE NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED Dr. C.W. Guildner Hastings, Nebraska. HEALTH IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY Fairly godd Honorable disch. déag. Epilepsy, grand mal, mild, cause undetermined. VOLUNTEER SERVICE The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are wi illing and able to serve if called on within the next 12 months. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS Nebraska Adams County Chapter, Hastings, Nebr. 1. Teach home YES NO Attend an instructors' training program, if offered. (Funds are available for YES NO nursing classes X training home nursing instructors. See local chapter.) Think unnecessari further training Attend disaster institutes, if YES NO 2. Serve in case YES NO only in home community X In other communities es offered, in preparation for service X of disaster 4. Accept membership on chapter com- YES NO 5. Assist with other chapter YES NO 3. Teach nurse's YES NO aide classes X mittee should services be needed programs, as needed X X If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES NO you will be able to serve at some time in the future? IF UNABLE TO SERVE, GIVE MAJOR REASONS- DATE SIGNATURE 3/1/46 Aug. 18, 1945. 8 YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS IN O KEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE MRS. AND RETURN RUTH TUCKER If PROMPTLI. NEWBERG. to K. TRACRETARY COMMITTEE NAMED BELOW. ATTENTION Fill in committee name and address before sending questionnalire MENT LANCASTER COUNTY SECRETARY AMERICAN RED CROS: NURSE RECRUITMENT COMMITTEE 312 so. 12thi SI. is NEER FORM 1045 Rev. July 1945 78504M

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    "ocrText": "to\n?\nitter\n+\nRED CROSS BADGE NUMBER\n5\nAMERICAN RED CROSS\n80,017\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nN-744035\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nH\nNAME (Last, first, middle)\nTELEPHONE NO.\n2037W\nBritton Ida Maude\na\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\na\nPERMANENT ADDRESS (Street, city, zone, county, state)\n403 East 4th St. Hastings, Mid-Western Area, Adams CO., Nebraska.\nPRESENT ADDRESS (Street, city, zone, county, state)\nSame as bove\nM\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nJohn A. Britton Same\naddress.\nFather\na\nDATE OF BIRTH (Month, day, year)\nSingle\nYes\nMarryed\nSeparated\nWidowedx\nXD1 vorced\nApril 8. 1910\n&\nYES\nNO\nWHAT LANGUAGES DO YOU SPEAK?\nEnglish Know a little French, and German\nHIGH SCHOOL GRADUATE\nX\na\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nMAJOR\nC\nDIPLOMA\nState Teachers' College Kearney, Nebr.\n1928-1930\nJunior Diploma Education\nHastings, Nebr. 1938-1939\nB.A.\nNursing\nHastings College\nWorking on M.A. In\nUni, of Chicago\nChicago, Ill. Summer 1939 Nursing Education\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nX\n-\nNebraska and in\nNURSES' ASSOCIATION?\nX\n-\nMani 00 Dd PRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nOffice nurse\nGeneral practive.\nCITY\nSTATE\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nDr. C.W. Guildner\nHastings,\nNebraska.\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nFairly godd\nHonorable disch. déag. Epilepsy, grand mal, mild, cause undetermined.\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are wi illing and able to\nserve if called on within the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\nNebraska Adams County Chapter, Hastings, Nebr.\n1. Teach home\nYES\nNO\nAttend an instructors' training program, if offered. (Funds are available for\nYES\nNO\nnursing classes\nX\ntraining home nursing instructors. See local chapter.) Think unnecessari further training\nAttend disaster institutes, if\nYES\nNO\n2. Serve in case\nYES\nNO\nonly in home community\nX\nIn other communities\nes\noffered, in preparation for service\nX\nof disaster\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\n3. Teach nurse's\nYES\nNO\naide classes\nX\nmittee should services be needed\nprograms, as needed\nX\nX\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS-\nDATE\nSIGNATURE\n3/1/46\nAug. 18, 1945.\n8\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS IN\nO\nKEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE MRS. AND RETURN RUTH TUCKER If PROMPTLI. NEWBERG. to K. TRACRETARY\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnalire MENT\nLANCASTER COUNTY\nSECRETARY\nAMERICAN RED CROS:\nNURSE RECRUITMENT\nCOMMITTEE\n312 so. 12thi SI. is NEER\nFORM 1045 Rev. July 1945\n78504M"
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