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FORM 1045
REV. JAN 1941
AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON. D. C.
Name in full Erskine Winifred huhell
Year of Birth 1895
(SURNAME)
(FIRST)
(MIDDLE)
Husband's name
Permanent
address 90 (STREET) Kingshnny St (CITY) Wellesley Norfolk (COUNTY) mass. (STATE)
Probable address
Same
for the next year
(STREET)
(CITY)
(COUNTY)
(STATE)
Telephone number Wellesley 1609
(EXCHANGE)
(NO.)
Give name and address of nearest relative or friend in United States:
Mrs. Lindsay Ellms
sister gollingshury St Wellesley mass,
(NAME)
(RELATIONSHIP)
(ADDRESS)
PRESENT EMPLOYMENT (check below)
Name of agency or institution with which employed
Institutional
Public Health
Private duty
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 Health
Private duty
Other
(WRITE IN)
AVAILABILITY
At the present time would you
accept assignment to the Army? Yes
No
Navy? Yes
No
available. anytime
Date
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 Care of the Sick? yes
Present physical condition Excellent
Badge No. 37060
Current date 2-17-41
Name of Committee
B ton Committee
e
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. over
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 186663c6aace117e
- Size
- unknown
Document data
- ID
- 2661434
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source extras
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Page context
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"ocrText": "FORM 1045\nREV. JAN 1941\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON. D. C.\nName in full Erskine Winifred huhell\nYear of Birth 1895\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent\naddress 90 (STREET) Kingshnny St (CITY) Wellesley Norfolk (COUNTY) mass. (STATE)\nProbable address\nSame\nfor the next year\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number Wellesley 1609\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nMrs. Lindsay Ellms\nsister gollingshury St Wellesley mass,\n(NAME)\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\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 Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable. anytime\nDate\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 Care of the Sick? yes\nPresent physical condition Excellent\nBadge No. 37060\nCurrent date 2-17-41\nName of Committee\nB ton Committee\ne\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. over"
}