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Gray, Sara M.

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+ FORM 1045 REV. 4-4-38 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. Dear Red Cross Nurse: The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross FLORENCE M. JOHNSON Chairman or Nurses should report at once to the Secretary. Secretary of the Local Committee under 315 LEXINGTON AVENUE which they are enrolled. Do not forget NEW YORK CITY Local Committee. the address of the Secretary. Name in full Sara In Gray If married, give husband's name Permanent address 632 8581 n y Cly (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year 6328581 N y.cie, (STREET. ETC.) Telephone No. play block 4. 3109 (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) mrs. m Gray warminght Blythe word, Greenwich Can Sister Underline the type of work you are now doing: Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Social Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Sur no Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Have you ever been? ho Would you like to teach Red Cross classes? ho Indicate present physical condition Fair Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? released Badge No. host Current date march 23- 39 NOTE.--If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

Page data

Page
7
Source index
0
Type
photo
Media ID
4809a60b0381487f
Size
unknown

Document data

ID
2661552
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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Document source extras 
{
    "url": "https://catalog.archives.gov/id/2661552",
    "naId": 2661552,
    "coverageEndDate": {
        "day": 27,
        "logicalDate": "1942-01-27",
        "month": 1,
        "year": 1942
    },
    "coverageStartDate": {
        "day": 4,
        "logicalDate": "1918-06-04",
        "month": 6,
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    },
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Page context 
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    "ocrText": "+\nFORM 1045\nREV. 4-4-38\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nDear Red Cross Nurse:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nFLORENCE M. JOHNSON\nChairman or\nNurses should report at once to the\nSecretary.\nSecretary of the Local Committee under\n315 LEXINGTON AVENUE\nwhich they are enrolled. Do not forget\nNEW YORK CITY\nLocal Committee.\nthe address of the Secretary.\nName in full Sara In Gray\nIf married, give husband's name\nPermanent address 632 8581\nn y Cly\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year 6328581 N y.cie,\n(STREET. ETC.)\nTelephone No. play block 4. 3109 (CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmrs. m Gray warminght Blythe word, Greenwich Can Sister\nUnderline the type of work you are now doing:\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Social\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nSur\nno\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever\nbeen? ho Would you like to teach Red Cross classes? ho\nIndicate present physical condition Fair\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ?\nreleased\nBadge No.\nhost\nCurrent date march 23- 39\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}