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Denison, Mrs. Marjorie (E.L.) nee Marjorie L. Work

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N eter RED CROSS BADGE NUMBER AMERICAN RED CROSS 13119 NURSING SERVICES MILITARY SERIAL NUMBER - ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED NAME (Last, first, middle) TELEPHONE NO. IF MARRIED, GIVE MAIDEN DenisoN NAME Marforie Lawton HUSBAND'S NAME Willoughly 842R Work " Eynest Lee PERMANENT ADDRESS (Street, city, zone, county, state) PRESENT ADDRESS (Street, city, zone, county, state) 69 Beachview Rd. Erieside Ohio NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES RELATIONSHIP Mrs Louis F. Rieser 324 West 15thst. New York City n.y. sister DATE OF BIRTH (Month, day, year) Aug. 18th 1889 Single Married Separated W1 dowed Divorced at WHAT LANGUAGES DO YOU SPEAK? YES NO English HIGH SCHOOL GRADUATE NAME OF COLLEGE OR DEGREE OR UNIVERSITY ATTENDED - - LOCATION INCLUSIVE DATES - DIPLOMA - MAJOR ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? V yes NURSES' ASSOCIATION? L PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) SERVICE (Medicine, surgery, etc.) - - NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED CITY STATE - - - HEALTH good IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY VOLUNTEER SERVICE The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are willing and able to serve if called on within the next 12 months. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS Painesville Ohio Lake Co Chapter 1. Teach home YES Attend an instructors' training program, if offered. (Funds are available for YES NO NO nursing classes training home nursing instructors. See local chapter.) 2. Serve in case YES NO only in home community Attend disaster institutes, if YES NO of disaster In other communities offered, in preparation for service 5. Assist with other chapter YES NO 3. Teach nurse's YES NO 4. Accept membership on chapter cóm- YES NO aide classes mittee should services be needed programs, as needed If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES NO you will be able to serve at some time in the future? IF UNABLE TO SERVE, GIVE MAJOR REASONS. SIGNATURE DATE aug. 12." 1945 majorie L.Denion YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPOLNESS IN KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN IT PROMPTLY TO THE COMMITTEE NAMED BELOW. ATTENTION Fill in committee name and address before sending questionnaire to nurse. AMERICAN RED CROSS SECRETARY Greater Cleveland Chapter NURSE RECRUITMENT NURSE RECRUITMENT COMMITTEE 91111458 COMMITTEE 1227 Prospect Ave., Cleveland 15, Ohio FORM 1045 Rev. July 1945 78504M

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Page
5
Source index
0
Type
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Media ID
3a5a419b00c872bc
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Document data

ID
2661350
Core
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Type
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    "ocrText": "N\neter\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n13119\nNURSING SERVICES\nMILITARY SERIAL NUMBER\n-\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first, middle)\nTELEPHONE NO.\nIF MARRIED, GIVE MAIDEN\nDenisoN NAME Marforie Lawton\nHUSBAND'S NAME\nWilloughly 842R\nWork\n\"\nEynest Lee\nPERMANENT ADDRESS (Street, city, zone, county, state)\nPRESENT ADDRESS (Street, city, zone, county, state)\n69 Beachview Rd. Erieside Ohio\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nMrs Louis F. Rieser 324 West 15thst. New York City n.y.\nsister\nDATE OF BIRTH (Month, day, year)\nAug. 18th 1889\nSingle\nMarried\nSeparated\nW1 dowed\nDivorced\nat\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nEnglish\nHIGH SCHOOL GRADUATE\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\n-\n-\nLOCATION\nINCLUSIVE DATES\n-\nDIPLOMA\n-\nMAJOR\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nV\nyes\nNURSES' ASSOCIATION?\nL\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\n-\n-\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\n-\n-\n-\nHEALTH good\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are willing and able to\nserve if called on within the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS Painesville Ohio\nLake Co Chapter\n1. Teach home\nYES\nAttend an instructors' training program, if offered. (Funds are available for\nYES\nNO\nNO\nnursing classes\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof disaster\nIn other communities\noffered, in preparation for service\n5. Assist with other chapter\nYES\nNO\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter cóm-\nYES\nNO\naide classes\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS.\nSIGNATURE\nDATE aug. 12.\" 1945\nmajorie L.Denion\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPOLNESS IN\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN IT PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nAMERICAN RED CROSS\nSECRETARY\nGreater Cleveland Chapter\nNURSE RECRUITMENT\nNURSE RECRUITMENT COMMITTEE\n91111458\nCOMMITTEE\n1227 Prospect Ave.,\nCleveland 15, Ohio\nFORM 1045 Rev. July 1945\n78504M"
}