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,5
ctc
Form 1045
Rev. Nov. 1941
AMERICAN RED CROSS
M
M
NURSING SERVICE
JAN 21942
as
Name in full
Cash,
Marie B. Rhodes
Tel. No.
(last)
(first)
(middle)
Marie R. Cash
Year of birth 9-23-87
If married, give maiden name
3
wid.
Marital status
Husband's name
(single, married, widowed, divorced)
B
a
3301 Beechwood Blvd.
Pittsburgh, Pa.
Permanent address
(street)
(city)
(county)
(state)
=
Probable address
same
same
for the next year
(street)
(city)
(county)
(state)
.Give name and address of nearest relative or friend in United States:
Mac Cash
Son
Riverside Military Academy, Gainesville
(name)
(relationship)
(address)
Ga.
Are you employed in nursing at the present time? Yes
No
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
Public health
Industrial
that
0
i
Private duty of
a
Other (write in)
es
Government Service:
Army, Regular
Navy, Regular
Veterans Administration
Reserve
Reserve
Children's Bureau
U.S.P.H. Service
U.S. Indian Service
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
of present employment
Supervision
General Staff
Other (specify)
How many years did you attend HIGH SCHOOL? One
Two
Three
Four
Graduated
Yes
No
SINCE GRADUATION FROM YOUR SCHOOL OF NURSING
have you ever had-
1. A postgraduate course or experience in any of the following special services?
Postgraduate course
Experience in hospital
in a hospital
or public health field
(at least 3 months)
(at least 6 months)
Communicable disease nursing (include Tbc)
Psychiatric Nursing
Operating room
Anaesthesia
3
Public health nursing
6
2. Have you taken any courses in a college or university?
Less than
One
Two
Three
Four
Bachelor's
Master's
P.H.D.
Certificate in
* one year
year
years
years
years
degree
degree
degree
Public Health
3
3
In what major
field was above study? Dietetics at Margaret Morrison School, Carnegie Tech
None fluently
What languages, other than English, do you speak?
(OVER)
Academic year
Page data
- Page
- 36
- Source index
- 0
- Type
- photo
- Media ID
- 4bc25fe395ed3e72
- Size
- unknown
Document data
- ID
- 2661226
- Core
- doc
- Type
- document
DTO data
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"ocrText": ",5\nctc\nForm 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nM\nM\nNURSING SERVICE\nJAN 21942\nas\nName in full\nCash,\nMarie B. Rhodes\nTel. No.\n(last)\n(first)\n(middle)\nMarie R. Cash\nYear of birth 9-23-87\nIf married, give maiden name\n3\nwid.\nMarital status\nHusband's name\n(single, married, widowed, divorced)\nB\na\n3301 Beechwood Blvd.\nPittsburgh, Pa.\nPermanent address\n(street)\n(city)\n(county)\n(state)\n=\nProbable address\nsame\nsame\nfor the next year\n(street)\n(city)\n(county)\n(state)\n.Give name and address of nearest relative or friend in United States:\nMac Cash\nSon\nRiverside Military Academy, Gainesville\n(name)\n(relationship)\n(address)\nGa.\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nthat\n0\ni\nPrivate duty of\na\nOther (write in)\nes\nGovernment Service:\nArmy, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nSINCE GRADUATION FROM YOUR SCHOOL OF NURSING\nhave you ever had-\n1. A postgraduate course or experience in any of the following special services?\nPostgraduate course\nExperience in hospital\nin a hospital\nor public health field\n(at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include Tbc)\nPsychiatric Nursing\nOperating room\nAnaesthesia\n3\nPublic health nursing\n6\n2. Have you taken any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nP.H.D.\nCertificate in\n* one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\n3\n3\nIn what major\nfield was above study? Dietetics at Margaret Morrison School, Carnegie Tech\nNone fluently\nWhat languages, other than English, do you speak?\n(OVER)\nAcademic year"
}