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Clarke, Mary A.

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FORM 1045 REV. JAN 1641 AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. Name in full Clarke M (URNAME) mary (FIRST) Ann (MIDDLE) Year of Birth 1854 a Husband's name never married a Permanent address Christ church Hospital, 4 9th monument ave (STREET) (CITY) same Philadelphia, (STATE) Penna. Probable address D for the next year (STREET) . (CITY) (COUNTY) Telephone number Frinkly (EXCHANGE) 9784 (NO.) (STATE) Give and address of relative friend in United States: my niece, name nearest or Frances a. clarke (NAME) 916 s truce st. Philadelphia (RELATIONSHIP) (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional None Public Health None Private duty None Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR RESPONSIBILITIES 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 Healths Private duty Other medical wark literary 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 arthritis Care or the Sick? prevents, Present physical condition authentis-general-6 lory bad in Badge No. 1224 Secretary - Local Committee Red Cross Nursing Service Current date nov. 21 1941 511 North Broad Street Name of Committee Pa: 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.

Page data

Page
35
Source index
0
Type
photo
Media ID
a79fa64f3459de57
Size
unknown

Document data

ID
2661248
Core
doc
Type
document
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Context sent to Scholar

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        "month": 2,
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    "ocrText": "FORM 1045\nREV. JAN 1641\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName in full Clarke\nM\n(URNAME)\nmary (FIRST) Ann (MIDDLE) Year of Birth 1854\na\nHusband's name\nnever married\na\nPermanent address Christ church Hospital, 4 9th monument ave\n(STREET)\n(CITY)\nsame\nPhiladelphia, (STATE) Penna.\nProbable address\nD\nfor the next year\n(STREET)\n.\n(CITY)\n(COUNTY)\nTelephone number Frinkly (EXCHANGE) 9784 (NO.)\n(STATE)\nGive and address of relative friend in United States: my niece,\nname nearest or\nFrances a. clarke\n(NAME)\n916 s truce st. Philadelphia\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nNone\nPublic Health\nNone\nPrivate duty\nNone\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Healths\nPrivate duty\nOther medical wark literary\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 arthritis Care or the Sick? prevents,\nPresent physical\ncondition authentis-general-6 lory bad in\nBadge No. 1224\nSecretary - Local Committee\nRed Cross Nursing Service\nCurrent date nov. 21 1941\n511 North Broad Street\nName of Committee\nPa:\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."
}