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Form No. 469-(2)
THE AMERICAN RED CROSS
ENROLLMENT FORM
M
W
Voyage number
To
THE DIVISION OF TRANSPORTATION,
From Nursing Department.
BUREAU OF PERSONNEL.
Date
August -27 1918.
Approval of Director,
Approved
Bureau of Personnel
1.
Name Callaway, Exa Lee
2. Address c/o Waxahachie Sanitarium, Waxahachie, Texas.
3. Temporary address, if any
4. Going to what countries
France
5. Nature of work Enrolled Red Cross Nurse.
6. Suggested rank
7. Length of stay (six months or over?) 1 year-or more
8. Proposed approximate date of departure
Booked
Sailed 11-7
9. Cable number in compliance with which above is being sent MN-1
10. Is appointee volunteer ? No
11. If not volunteer, what salary per month is promised ? $70.00
12. To begin Oct-12-
13. What allowance, if any, for transportation in United States? $ 10 New York and return.
14. What allowance, if any, for transportation (steamship) ? $ To destination and return.
15. What allowance, if any, for living expenses prior to departure? $4.00 day from-date - requested to report
in New York to day of sailing.
16. What allowance, if any, for uniform equipment -Yes, requisitioned-at New York-office.
17. What allowance, if any, for living expenses abroad? $ . Yes, regulation-allowance.
18. Is there to be an assignment of part or all of salary ? $35.00 a month
19. Has the proper form been sent to the Life Extension Institute?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BLANK.
Correspondence checked:
Note
Forms
0%
Mailed
Clerk of the
Court at
Application for passport filed
Date
Issued
Reservation
Cancelled
Cabled
Cancelled
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Document data
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- 2661201
- Core
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- Type
- document
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Context sent to Scholar
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"ocrText": "Form No. 469-(2)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM\nW\nVoyage number\nTo\nTHE DIVISION OF TRANSPORTATION,\nFrom Nursing Department.\nBUREAU OF PERSONNEL.\nDate\nAugust -27 1918.\nApproval of Director,\nApproved\nBureau of Personnel\n1.\nName Callaway, Exa Lee\n2. Address c/o Waxahachie Sanitarium, Waxahachie, Texas.\n3. Temporary address, if any\n4. Going to what countries\nFrance\n5. Nature of work Enrolled Red Cross Nurse.\n6. Suggested rank\n7. Length of stay (six months or over?) 1 year-or more\n8. Proposed approximate date of departure\nBooked\nSailed 11-7\n9. Cable number in compliance with which above is being sent MN-1\n10. Is appointee volunteer ? No\n11. If not volunteer, what salary per month is promised ? $70.00\n12. To begin Oct-12-\n13. What allowance, if any, for transportation in United States? $ 10 New York and return.\n14. What allowance, if any, for transportation (steamship) ? $ To destination and return.\n15. What allowance, if any, for living expenses prior to departure? $4.00 day from-date - requested to report\nin New York to day of sailing.\n16. What allowance, if any, for uniform equipment -Yes, requisitioned-at New York-office.\n17. What allowance, if any, for living expenses abroad? $ . Yes, regulation-allowance.\n18. Is there to be an assignment of part or all of salary ? $35.00 a month\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote\nForms\n0%\nMailed\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled"
}