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FORM 1045
REV.JAN 1941
AMERICAN RED CROSS
2
NATIONAL HEADQUARTERS
WASHINGTON, D. C.
Name in full Sara m Gray
Year of Birth Dec 1886
(SURNAME)
(FIRST)
(MIDDLE)
Husband's name
Permanent address % Mr (STREET) m fredden (CITY) 225 E (COUNTY) 202 of or 63268 (STATE) Sl-wyce
Probable address
for the next year
same
(STREET)
(CITY)
(COUNTY)
(STATE)
Telephone number Sed 6486
Gram 74536
(EXCHANGE)
(NO.)
Give name and address of nearest relative or friend in United States:
mm (NAME) m 3 ammight (RELATIONSHIP) Bingham Hosp. Causadeuqua. (ADDRESS) 4.4
PRESENT EMPLOYMENT (check below)
Name of agency or institution with which employed
Institutional Social Service
Virginia Way hubely
Public Health
6328 50sl. City
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 would do anything that would help. but Too old to go other
with army or hand. excepting extreme Emergency
At the present time would you
Date
accept assignment to the Army? Yes
No
Navy? Yes
No
available
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?
No
Present physical condition Fair.
Badge No. fost hadge
Current date feb 3.
MANHATTAN
Name of Committee
2019.1946
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.
Page data
- Page
- 5
- Source index
- 0
- Type
- photo
- Media ID
- 5c06fdda9007f341
- Size
- unknown
Document data
- ID
- 2661552
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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"collections": [
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Document source extras
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"naId": 2661552,
"coverageEndDate": {
"day": 27,
"logicalDate": "1942-01-27",
"month": 1,
"year": 1942
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"coverageStartDate": {
"day": 4,
"logicalDate": "1918-06-04",
"month": 6,
"year": 1918
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"note": "This file was scanned as part of a collaboration effort between Ancestry and the National Archives.",
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Page context
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"ocrText": "FORM 1045\nREV.JAN 1941\nAMERICAN RED CROSS\n2\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName in full Sara m Gray\nYear of Birth Dec 1886\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address % Mr (STREET) m fredden (CITY) 225 E (COUNTY) 202 of or 63268 (STATE) Sl-wyce\nProbable address\nfor the next year\nsame\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number Sed 6486\nGram 74536\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nmm (NAME) m 3 ammight (RELATIONSHIP) Bingham Hosp. Causadeuqua. (ADDRESS) 4.4\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional Social Service\nVirginia Way hubely\nPublic Health\n6328 50sl. City\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 would do anything that would help. but Too old to go other\nwith army or hand. excepting extreme Emergency\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\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?\nNo\nPresent physical condition Fair.\nBadge No. fost hadge\nCurrent date feb 3.\nMANHATTAN\nName of Committee\n2019.1946\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."
}