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Colvin, Mrs. Amy M. (Henry) nee Amy M. Hilliard

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I L I is REV. 12-3-37 THE AMERICAN RED CROSS Amy D FORM 1045 M 1 NATIONAL HEADQUARTERS S WASHINGTON, D. c. 13 3 QUESTIONNAIRES 11 BESTROYED 11 9/19/45 S IT 111 Dear Red Cross Nurse: M. 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 I WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- e 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. 5 IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Chairman or Graer Weidel Nurses should report at once to the Secretary. Secretary of the Local Committee under which they are enrolled. Do not forget albany- Local Committee. the address of the Secretary, Name in full (Mrs.) any may Hilliard Colvin If married, give husband's name Heury Calvin - deceased- Permanent address 42 Decoud At. Tray (CITY Renss. neeryork (STREET, ETC.) (COUNTY) (STÁTE) Probable address for the next year same. (STREET, ETC.) Telephone No. Tray 4840 (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) Underl ine the type of work you are now doing: Tray savings Bank- 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? Have you ever been? Indicate present physical condition In good health Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. 697- Current date March 19.1938- 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.

Page data

Page
19
Source index
0
Type
photo
Media ID
734c3945b14b4e68
Size
unknown

Document data

ID
2661263
Core
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Type
document
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Context sent to Scholar

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    "ocrText": "I\nL\nI\nis\nREV. 12-3-37\nTHE AMERICAN RED CROSS\nAmy\nD\nFORM 1045\nM\n1\nNATIONAL HEADQUARTERS\nS\nWASHINGTON, D. c.\n13 3 QUESTIONNAIRES 11 BESTROYED 11 9/19/45\nS\nIT\n111\nDear Red Cross Nurse:\nM.\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\nI\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\ne\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.\n5\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nChairman or\nGraer Weidel\nNurses should report at once to the\nSecretary.\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\nalbany-\nLocal Committee.\nthe address of the Secretary,\nName in full (Mrs.) any may Hilliard Colvin\nIf\nmarried, give husband's name Heury Calvin - deceased-\nPermanent address 42 Decoud At. Tray (CITY\nRenss.\nneeryork\n(STREET, ETC.)\n(COUNTY)\n(STÁTE)\nProbable address for the next year\nsame.\n(STREET, ETC.)\nTelephone No. Tray 4840\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)\nUnderl ine the type of work you are now doing:\nTray savings Bank-\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\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?\nHave you ever been?\nIndicate present physical condition In good health\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nBadge No. 697-\nCurrent date March 19.1938-\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."
}