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    • Cann, Jessie May

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    Page 13 of 144
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    FORM 1045 ERIAILROOM REV. JAN 1941 2 AMERICAN RED CROSS NATIONAL HEADQUARTERS - WASHINGTON, D.C. S Name in full Came gesari man Year of Birth S (SURNAME) (FIRST) (MIDDLE) none - Husband's name e Permanent address 20 woodland pa Aubiran masx (STREET) (CITY) (COUNTY) (STATE) M Probable address for the next year (STREET) (CITY) (COUNTY) (STATE) Telephone number al5-9881 (EXCHANGE) my (NOP ar Give name and address of nearest relative or friend in United States: mortrank Punduef sister 20 woodland Rd (NAME) (RELATIONSHIP) mark PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public Health not active Private duty Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR ESPONSIBILITIES Adminis Super Teach General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? Present physical condition Badge No. 6108 Current date nov MANHATTAN Name of Committee partic Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enrollment will be removed from our active files. of

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    "ocrText": "FORM 1045\nERIAILROOM\nREV. JAN 1941\n2\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\n-\nWASHINGTON, D.C.\nS\nName in full\nCame\ngesari\nman\nYear of Birth\nS\n(SURNAME)\n(FIRST)\n(MIDDLE)\nnone\n-\nHusband's name\ne\nPermanent address 20 woodland pa Aubiran\nmasx\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nM\nProbable address\nfor the next year\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone\nnumber al5-9881 (EXCHANGE) my (NOP\nar\nGive name and address of nearest relative or friend in United States:\nmortrank Punduef sister 20 woodland Rd\n(NAME)\n(RELATIONSHIP)\nmark\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nnot active\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR ESPONSIBILITIES Adminis\nSuper\nTeach\nGeneral\nPrivate\nOther\nof present employment\ntration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick?\nPresent physical condition\nBadge No. 6108\nCurrent date nov\nMANHATTAN\nName of Committee\npartic\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files.\nof"
}