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D Form 1045 Rev. Nov. 1941 AMERICAN RED CROSS NURSING SERVICE Name in full Du Brau Clara Edith (last) (first) (middle) Tel. No Kennone 0950 If married; give maiden name Year of birth July 13-11T2 Marital status Husband's name (single, married, widowed, divorced) Permanent address 839 Boylstone It. Boctor man. (street) (city) (county) (state) Probable address for the next year Same (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: mere It (name) H. Caswell sister (relationship) Pier Phode Island narragancett E P.O.Boy 373 d Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed + Institutional Boston hurees Club (Temporary 5 Public health Industrial Private duty Other (write in) Espectative unkescript Humistant, 18 Fiacing schools. 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 assustant of present employment Supervision General Staff Other (specify) Regustrantearship How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No Equinalent 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 Public health nursing 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 In what major field was above study? What languages, other than English, do you speak? * Academic year (OVER)

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    "ocrText": "D\nForm 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full Du Brau Clara Edith\n(last)\n(first)\n(middle)\nTel. No Kennone 0950\nIf married; give maiden name\nYear of birth July 13-11T2\nMarital status\nHusband's name\n(single, married, widowed, divorced)\nPermanent\naddress 839 Boylstone It. Boctor\nman.\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\nSame\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nmere It (name) H. Caswell sister (relationship) Pier Phode Island\nnarragancett\nE\nP.O.Boy 373\nd\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\n+\nInstitutional\nBoston hurees Club (Temporary\n5\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nEspectative unkescript Humistant, 18 Fiacing schools.\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\nassustant\nof present employment\nSupervision\nGeneral Staff\nOther\n(specify) Regustrantearship\nHow many years did you attend HIGH SCHOOL? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nEquinalent\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\nPublic health nursing\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\nIn what major field was above study?\nWhat languages, other than English, do you speak?\n* Academic year\n(OVER)"
}