Ask the Scholar
Page 89 of 90
I can add historical knowledge about this page.
Page image
OCR
Form 1037
Rev. May, 1939
THE AMERICAN RED CROSS NURSING SERVICE
APPLICATION FOR ENROLLMENT
(To be filled out in applicant's handwriting and each question answered fully)
25
1. Name of applicant in full Heless Jursuitz
Date of birth Jan, , 6, 1915
(Month) (Day) (Year)
Letter
If married, give maiden name
12/12
Hel
2. Permanent address. 218 auquity (Street) St. South (City) amboy, neurJasory (State)
3. Race Whits Place of birth South ambry, N.J. Marital status (single, Line married, Eisowed fs or
Probable address for one year frutral (Street) nureea Residence, (City) Uelfare (State) Island, n. y
Birthplace of father U.S.
Mother Russia Citizenship of father 435
divorced)
Are you a citizen of the United States? 425
4. GENERAL EDUCATION (prior to entering nursing) :
No. of years
Did you graduate?
attendance
Yes or No
High School
4 yrs
yes
Normal school
College or University
Columbia University 6 predits
Other
What languages other than English you speak?
do Russian Polish
Draka's Business Collage lyr
(Underline those which you speak "lluently)
5. PROFESSIONAL EDUCATION:
School of Nursing from which you graduated
metropolital a. (Name) School of Uursing Helfare Ity) Inland, (State)
Urw
Yark
Date of graduation Jan 2, 1939
Length of course
3 4rs
Character of hospital General or special Gaursal
Daily Average
No. of patients
1200
during training
In this hospital, which services did you receive experience in as segregated services (underline)
Eye, Ear Communicable
Outpatient
Medicine- Surgery Pediatrics - Obstetrics - Nose & Throat Diseases Psychiatry - Department
In this hospital, which services did you receive experience in as non-segregated services (underline) :
Eye, Ear
Communicable
Outpatient
Medicine-Surgery-Pediatrics-Obstetrics-Nose - & Throat--Diseases-Psychiatry- - Department
b. Undergraduate affiliations:
Clinical
Hospital or Organization
City and State
specialty
No. months
(1) Pa Uleve Hosp.
Usu
York Cite Psychiatry 2mos.
(2) Hillard Parker Hosp.
"
',
, Communicable. 3-mos
(3)
c. Postgraduate clinical or field courses (Do not include academic work).
Clinical
Hospital or Organization
City and State
No. months
8
specialty
(1)
(2)
2
(3)
J
d. Academic study since graduation from Nursing School.
College or University
City and State
Nature of work
No. months
(1)
of
(2)
(3)
VHD
EXLENIF
Page data
- Page
- 89
- Source index
- 0
- Type
- photo
- Media ID
- 3f3ac21a4f03b9d4
- Size
- unknown
Document data
- ID
- 2661296
- Core
- doc
- Type
- document
DTO data
{
"id": "2661296",
"sourceUrl": "https://catalog.archives.gov/id/2661296",
"contentType": "document",
"title": "Curran, Mrs. Helen nee Helen Jurewicz [2/2]",
"citationUrl": "https://catalog.archives.gov/id/2661296",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003239_0522/40033_1521003239_0522-00927.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003239_0522/40033_1521003239_0522-00927.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003239_0522/40033_1521003239_0522-00927.jpg",
"imageCount": 90,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "2661296",
"label": "Curran, Mrs. Helen nee Helen Jurewicz [2/2]",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/2661296"
}
Document source metadata
{
"id": "2661296",
"sourceUrl": "https://catalog.archives.gov/id/2661296",
"contentType": "document",
"title": "Curran, Mrs. Helen nee Helen Jurewicz [2/2]",
"citationUrl": "https://catalog.archives.gov/id/2661296",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003239_0522/40033_1521003239_0522-00927.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003239_0522/40033_1521003239_0522-00927.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003239_0522/40033_1521003239_0522-00927.jpg",
"imageCount": 90,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/2661296",
"naId": 2661296,
"coverageEndDate": {
"day": 22,
"logicalDate": "1942-04-22",
"month": 4,
"year": 1942
},
"coverageStartDate": {
"day": 13,
"logicalDate": "1940-06-13",
"month": 6,
"year": 1940
},
"levelOfDescription": "fileUnit",
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 89,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003239_0522/40033_1521003239_0522-01015.jpg",
"mediaId": "3f3ac21a4f03b9d4",
"ocrText": "Form 1037\nRev. May, 1939\nTHE AMERICAN RED CROSS NURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out in applicant's handwriting and each question answered fully)\n25\n1. Name of applicant in full Heless Jursuitz\nDate of birth Jan, , 6, 1915\n(Month) (Day) (Year)\nLetter\nIf married, give maiden name\n12/12\nHel\n2. Permanent address. 218 auquity (Street) St. South (City) amboy, neurJasory (State)\n3. Race Whits Place of birth South ambry, N.J. Marital status (single, Line married, Eisowed fs or\nProbable address for one year frutral (Street) nureea Residence, (City) Uelfare (State) Island, n. y\nBirthplace of father U.S.\nMother Russia Citizenship of father 435\ndivorced)\nAre you a citizen of the United States? 425\n4. GENERAL EDUCATION (prior to entering nursing) :\nNo. of years\nDid you graduate?\nattendance\nYes or No\nHigh School\n4 yrs\nyes\nNormal school\nCollege or University\nColumbia University 6 predits\nOther\nWhat languages other than English you speak?\ndo Russian Polish\nDraka's Business Collage lyr\n(Underline those which you speak \"lluently)\n5. PROFESSIONAL EDUCATION:\nSchool of Nursing from which you graduated\nmetropolital a. (Name) School of Uursing Helfare Ity) Inland, (State)\nUrw\nYark\nDate of graduation Jan 2, 1939\nLength of course\n3 4rs\nCharacter of hospital General or special Gaursal\nDaily Average\nNo. of patients\n1200\nduring training\nIn this hospital, which services did you receive experience in as segregated services (underline)\nEye, Ear Communicable\nOutpatient\nMedicine- Surgery Pediatrics - Obstetrics - Nose & Throat Diseases Psychiatry - Department\nIn this hospital, which services did you receive experience in as non-segregated services (underline) :\nEye, Ear\nCommunicable\nOutpatient\nMedicine-Surgery-Pediatrics-Obstetrics-Nose - & Throat--Diseases-Psychiatry- - Department\nb. Undergraduate affiliations:\nClinical\nHospital or Organization\nCity and State\nspecialty\nNo. months\n(1) Pa Uleve Hosp.\nUsu\nYork Cite Psychiatry 2mos.\n(2) Hillard Parker Hosp.\n\"\n',\n, Communicable. 3-mos\n(3)\nc. Postgraduate clinical or field courses (Do not include academic work).\nClinical\nHospital or Organization\nCity and State\nNo. months\n8\nspecialty\n(1)\n(2)\n2\n(3)\nJ\nd. Academic study since graduation from Nursing School.\nCollege or University\nCity and State\nNature of work\nNo. months\n(1)\nof\n(2)\n(3)\nVHD\nEXLENIF"
}