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B
T
RED CROSS BADGE NUMBER
AMERICAN RED CROSS
1535
NURSING SERVICES
MILITARY SERIAL NUMBER
ANNUAL QUESTIONNAIRE - 1945
CHECK IF YOUR LAST NAME HAS CHANGED
S
NAME (Last, first, middle)
TELEPHONE NO.
a
Bryant, Sallie Jane
40-1173
/
IF MARRIED, GIVE MAIDEN NAME
HUSBAND'S NAME
-
PERMANENT ADDRESS (Street, city, zone, county, state)
e
2708 Monterey Street, St. Joseph 55. Missouri
PRESENT ADDRESS (Street, city, zone, county, state)
2708 Monterey St., St. Joseph 55, Mo.
NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES
RELATIONSHIP
J.
Jessie L.Bryant Above Address
Sister
DATE OF BIRTH (Month, day, year)
20th. June, 1876
Single
yes
Married
Separated
Widowed
Divorced
WHAT LANGUAGES DO YOU SPEAK?
YES
NO
HIGH SCHOOL GRADUATE
english
NAME OF COLLEGE OR
Mo.
DEGREE OR
UNIVERSITY ATTENDED State Teachensation Warrensburg INCLUSIVE DATES 1921 DIPLOMA
MAJOR
One semester ****** sociology; One semester Adult psychology ( extension
Missouri University, Dr. Mary Robinson.
ARE YOU CURRENTLY
YES
NO
REGISTERED IN (State)
ARE YOU CURRENTLY A MEMBER OF THE AMERICAN
YES
NO
REGISTERED?
X
Missouri
NURSES' ASSOCIATION?
PRESENT EMPLOYMENT If not employed, check
POSITION TITLE (H.N., P.D., inst., staff nurse, etc.)
Soc.
SERVICE (Medicine, surgery, etc.)
Executive Secretary Buchanan Co. Tuberculosis
Health Education
NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED
CITY
STATE
Buchanan Co. Tuberculosis Society
St.Joseph,
Missouri
HEALTH very IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY
good
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 villing 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
Joseph Buchanan Co. Chapter, 117 So.15th Street, St. Joseph, Mo.
1. Teach home
YES
NO
Attend an instructors' training program, if offered. (Funds are available for
YES
NO
X
nursing classes
training home nursing instructors. See local chapter.)
2. Serve in case
YES
NO
only in home community
Attend disaster institutes, if
YES
NO
of disaster
In other communities
Coffered, in preparation for service
X
ves
3. Teach nurse's
YES
NO
4. Accept membership on chapter com-
YES
NO
5. Assist with other chapter
YES
NO
aide classes
X
mittee should services be needed
programs, as needed
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-
I do not feel that I am well enough qualified to teach home nursing classes
DATE
Aug. 22, 1945
YOUR VALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY
IGNATURE AND Salli WILLINGNESS J to SERVE Bryant AND, TOUR PAITHPOLNESS R.n. IN
KEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN AT ROMPTLY TO THE
5
COMMITTEE NAMED BELOW.
ATTENTION
Fill in commit addressebef'oreesending quest! onnaire to nurse.
3
SECRETARY
Buchanan County Chapter, A. R. C.
NURSE RECRUITMENT
117 So. 15th Street,
of
COMMITTEE
ST 13, MISSOURI
78504M
FORM 1045 Rev. July 1945
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"ocrText": "B\nT\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n1535\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nS\nNAME (Last, first, middle)\nTELEPHONE NO.\na\nBryant, Sallie Jane\n40-1173\n/\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\n-\nPERMANENT ADDRESS (Street, city, zone, county, state)\ne\n2708 Monterey Street, St. Joseph 55. Missouri\nPRESENT ADDRESS (Street, city, zone, county, state)\n2708 Monterey St., St. Joseph 55, Mo.\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nJ.\nJessie L.Bryant Above Address\nSister\nDATE OF BIRTH (Month, day, year)\n20th. June, 1876\nSingle\nyes\nMarried\nSeparated\nWidowed\nDivorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nHIGH SCHOOL GRADUATE\nenglish\nNAME OF COLLEGE OR\nMo.\nDEGREE OR\nUNIVERSITY ATTENDED State Teachensation Warrensburg INCLUSIVE DATES 1921 DIPLOMA\nMAJOR\nOne semester ****** sociology; One semester Adult psychology ( extension\nMissouri University, Dr. Mary Robinson.\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nX\nMissouri\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSoc.\nSERVICE (Medicine, surgery, etc.)\nExecutive Secretary Buchanan Co. Tuberculosis\nHealth Education\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nBuchanan Co. Tuberculosis Society\nSt.Joseph,\nMissouri\nHEALTH very IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\ngood\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 villing 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\nJoseph Buchanan Co. Chapter, 117 So.15th Street, St. Joseph, Mo.\n1. Teach home\nYES\nNO\nAttend an instructors' training program, if offered. (Funds are available for\nYES\nNO\nX\nnursing classes\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof disaster\nIn other communities\nCoffered, in preparation for service\nX\nves\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nX\nmittee should services be needed\nprograms, as needed\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-\nI do not feel that I am well enough qualified to teach home nursing classes\nDATE\nAug. 22, 1945\nYOUR VALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY\nIGNATURE AND Salli WILLINGNESS J to SERVE Bryant AND, TOUR PAITHPOLNESS R.n. IN\nKEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN AT ROMPTLY TO THE\n5\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in commit addressebef'oreesending quest! onnaire to nurse.\n3\nSECRETARY\nBuchanan County Chapter, A. R. C.\nNURSE RECRUITMENT\n117 So. 15th Street,\nof\nCOMMITTEE\nST 13, MISSOURI\n78504M\nFORM 1045 Rev. July 1945"
}