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FORM 1045
AMERICAN RED CROSS
REV. DEC. 1939
NATIONAL HEADQUARTERS
checkmark_ntt
WASHINGTON, D. c.
Name in full
Labrum
(Nellie)
Frances
(SURNAME)
(F IRST),
Mrs.
(MIDDLE)
-
Husband's name
F
Permanent address23yu play
lan (CITY) suncisco 8.7. Calif.
N
(STREET)
(COUNTY)
(STATE)
Probable address
e
for
the next year 2340 (STREET) Clayet (CITY) Sen Fruncis s.7. Calif
(COUNTY)
(STATE)
Telephone number
wist
8000
C,
(EXCHANGE)
(NO.)
Nearest relative or friend in United States, through whom you may be communicated with in
an emergency:
alfred Labrum
Father
1445 Gardner (NAME) it.
(RELATIONSHIP)
(STREET)
Hallyword
(CITY)
Calif
(STATE)
(PP)
PRESENT WORK (check below)
Name of agency or institution with which employed
Institutional
X
Head nurse, Children's Clinic, Stanford Uhio Hosp
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
IF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:
Institutional
Public Health
Private duty
Other (write in)
Would you respond to an emergency call in event of local or national emergency, such as
epidemic, flood, war, etc. yes
(Granted of course that you could be released from present employment)
Present physical condition good
Would you be interested in teaching classes in Home Hygiene and Care of the Sick? yls
Are
you a member of the American Nurses' Association? yes
If not, why have you allowed your membership to lapse?
Badge No. 68072
Current date april 8, 1940
Name of Committee
SAN FRANCISCO
Note: If a nurse does not complete and return this questionnaire, and cannot be located
within two years, her enrorlment will be removed from our active files.
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- Source index
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- Type
- photo
- Media ID
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- Size
- unknown
Document data
- ID
- 2661601
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "Z I\nea\nar\na\nI\nE\n0\nO\nN\na\nFORM 1045\nAMERICAN RED CROSS\nREV. DEC. 1939\nNATIONAL HEADQUARTERS\ncheckmark_ntt\nWASHINGTON, D. c.\nName in full\nLabrum\n(Nellie)\nFrances\n(SURNAME)\n(F IRST),\nMrs.\n(MIDDLE)\n-\nHusband's name\nF\nPermanent address23yu play\nlan (CITY) suncisco 8.7. Calif.\nN\n(STREET)\n(COUNTY)\n(STATE)\nProbable address\ne\nfor\nthe next year 2340 (STREET) Clayet (CITY) Sen Fruncis s.7. Calif\n(COUNTY)\n(STATE)\nTelephone number\nwist\n8000\nC,\n(EXCHANGE)\n(NO.)\nNearest relative or friend in United States, through whom you may be communicated with in\nan emergency:\nalfred Labrum\nFather\n1445 Gardner (NAME) it.\n(RELATIONSHIP)\n(STREET)\nHallyword\n(CITY)\nCalif\n(STATE)\n(PP)\nPRESENT WORK (check below)\nName of agency or institution with which employed\nInstitutional\nX\nHead nurse, Children's Clinic, Stanford Uhio Hosp\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\nIF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nWould you respond to an emergency call in event of local or national emergency, such as\nepidemic, flood, war, etc. yes\n(Granted of course that you could be released from present employment)\nPresent physical condition good\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? yls\nAre\nyou a member of the American Nurses' Association? yes\nIf not, why have you allowed your membership to lapse?\nBadge No. 68072\nCurrent date april 8, 1940\nName of Committee\nSAN FRANCISCO\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrorlment will be removed from our active files."
}