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a l FORM 1045 REV. 1-2-35 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. c. 16 QUESTIONNAIRES DESTROYED Dear Madam: The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: Yours sincerely, In order to render prompt service Chairman or in time of disaster, enrolled Red Cross Kathryn D. Gibson Secretary. Nurses should report at once to the 324 Chamber of Commerce Bldg.; Secretary of the Local Committee under Scranton, Penna. Local Committee. which they are enrolled. Do not forget the address of the Secretary, Name in full miss Marron Cartmell If married, give husband's name Permanent address 245 mmam (STREET, ETC.) st (CITY) Wilker Bane (COUNTY) Ingerme Penna (STATE) Probable address for the next year Same (STREET, ETC.) Telephone No. WB 27054 (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Mirsanna Cartnell 265 Mmam St Wilker-Bane Lagermed Penna Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? no Indicate present physical condition Private nursing Would to an call in event war, you respond emergency of epidemic, disaster, etc. ? yes Badge No. 21.451 Current date march 21-1-1935 NOTE. If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

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    "ocrText": "a\nl\nFORM 1045\nREV. 1-2-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\n16\nQUESTIONNAIRES DESTROYED\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nChairman or\nin time of disaster, enrolled Red Cross\nKathryn D. Gibson\nSecretary.\nNurses should report at once to the\n324 Chamber of Commerce Bldg.;\nSecretary of the Local Committee under\nScranton, Penna.\nLocal Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary,\nName in full miss Marron Cartmell\nIf married, give husband's name\nPermanent address 245 mmam (STREET, ETC.) st (CITY) Wilker Bane (COUNTY) Ingerme Penna (STATE)\nProbable address for the next year Same\n(STREET, ETC.)\nTelephone No. WB 27054\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nMirsanna Cartnell 265 Mmam St Wilker-Bane Lagermed Penna\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service\n-\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been? no\nIndicate present physical condition Private nursing\nWould to an call in event war,\nyou respond emergency of epidemic, disaster, etc. ? yes\nBadge No. 21.451\nCurrent date march 21-1-1935\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
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