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Henderson, Mrs. Virginia L.M. nee Virginia Louise M. Robinson

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ZI e no er FORM 1045 REV. JAN 1941 AMERICAN RED CROSS son, NATIONAL HEADQUARTERS WASHINGTON, D. C. Name in full Robinson Virginia Louise Merrill Year of Birth 1911 (SURNAME) (FIRST) (MIDDLE) Mrs. Husband's name 71 Brook Street Wollaston Norfolk Permanent address Massachusetts (STREET) (CITY) (COUNTY) (STATE) < Probable address for the next year 71 Brook Street Wollaston Norfolk Massachusetts (STREET) (CITY) (COUNTY) (STATE) Telephone number Granite 5139 (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: Mr., Herman F. Robinson Father 71. (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 Have accepted an appointment with the Red Cross-Harvard Unit 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 Hame accepted an appointment with the Red Cross-Harvard Unit. 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? Present physical condition Good Badge No. 66059 Current date February 3,1941 Name of Committee middlessh - Essep, mass. C Note: If a nurse does not complete and return this questionnaire, and cannot be located a within two years, her enrollment will be removed from our active files. - y

Page data

Page
35
Source index
0
Type
photo
Media ID
71b4203eb7fb8a44
Size
unknown

Document data

ID
2661625
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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        "month": 5,
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Page context 
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    "ocrText": "ZI\ne\nno\ner\nFORM 1045\nREV. JAN 1941\nAMERICAN RED CROSS\nson,\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName in full\nRobinson\nVirginia Louise Merrill\nYear of Birth 1911\n(SURNAME)\n(FIRST)\n(MIDDLE)\nMrs.\nHusband's name\n71 Brook Street\nWollaston\nNorfolk\nPermanent address\nMassachusetts\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\n<\nProbable address\nfor the next year\n71 Brook Street\nWollaston\nNorfolk\nMassachusetts\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number\nGranite\n5139\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nMr., Herman F. Robinson\nFather\n71.\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\nHave accepted an appointment with the Red Cross-Harvard Unit\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\nHame accepted an appointment with the Red Cross-Harvard Unit.\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?\nPresent physical condition\nGood\nBadge No.\n66059\nCurrent date February 3,1941\nName of Committee\nmiddlessh - Essep, mass.\nC\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\na\nwithin two years, her enrollment will be removed from our active files.\n-\ny"
}