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K
e
IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND
CHECK THE APPROPRIATE BOX
AVAILABILITY FOR SERVICE WITH THE ARMED FORCES
Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be-
Physically fit, single, and under 40.
M
For assignment to the Army Nurse Corps, a Red Cross nurse must be-
Physically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,
operating room work, or interested in overseas assignment, the age limit is the 45th
birthday.
If eligible and not already in service, are you
Immediately available
Available in the near future
D
(specify date)
9
Not available for the following reasons
age
(specify)
5
e
If married, do you have minor dependents?
(specify)
S
If the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be
Immediately available
Available in the near future
(specify date)
Not available for the following reasons
(specify)
AVAILABILITY FOR SERVICE WITH CIVILIANS
If not already doing so, will you
Teach Red Cross Home Nursing classes, if qualified?
100
14
Teach Volunteer Nurse's Aides, if qualified?
Serve with an overseas unit caring for civilian casualties?
Be available for emergency Red Cross assignments?
yes
MOMT
PHYSICAL CONDITION
Have you been rejected for military service?
Yes
No
Why?
Do you believe that you could now meet revised physical requirements for military service?
Yes
No
State present physical condition
very good
If any disabilities, please specify
Red Cross Badge No.
NATIONAL HEADQUARTERS
(date this form is filled in)
Name of committee
(to be filled in by committee before questionnaire is sent to the nurse)
of
YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL
EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE
AND RETURNING IT TO US.
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Context sent to Scholar
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Page context
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"ocrText": "I\nK\ne\nIT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nCHECK THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be-\nPhysically fit, single, and under 40.\nM\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be-\nPhysically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,\noperating room work, or interested in overseas assignment, the age limit is the 45th\nbirthday.\nIf eligible and not already in service, are you\nImmediately available\nAvailable in the near future\nD\n(specify date)\n9\nNot available for the following reasons\nage\n(specify)\n5\ne\nIf married, do you have minor dependents?\n(specify)\nS\nIf the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be\nImmediately available\nAvailable in the near future\n(specify date)\nNot available for the following reasons\n(specify)\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf not already doing so, will you\nTeach Red Cross Home Nursing classes, if qualified?\n100\n14\nTeach Volunteer Nurse's Aides, if qualified?\nServe with an overseas unit caring for civilian casualties?\nBe available for emergency Red Cross assignments?\nyes\nMOMT\nPHYSICAL CONDITION\nHave you been rejected for military service?\nYes\nNo\nWhy?\nDo you believe that you could now meet revised physical requirements for military service?\nYes\nNo\nState present physical condition\nvery good\nIf any disabilities, please specify\nRed Cross Badge No.\nNATIONAL HEADQUARTERS\n(date this form is filled in)\nName of committee\n(to be filled in by committee before questionnaire is sent to the nurse)\nof\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL\nEMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE\nAND RETURNING IT TO US."
}