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Hickcox, Verda Fern

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I C FORM 1045 BEV. JAN 1941 2 AMERICAN RED CROSS (b NATIONAL HEADQUARTERS 1 WASHINGTON, D. C. d Name in full Hickcox. Verda Fern Year of Birth Dec. 1891 a (SURNAME) (FIRST) (MIDDLE) Husband's name F 1320 York Ave. New York New York "ew York Permanent address (STREET) (CITY) (COUNTY) (STATE) Probable address for the next year same as above (STREET) (CITY) (COUNTY) (STATE) Telephone number Regent 4 6000, Ext. 7030 (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: Mrs Jule Klosterman sister 40 Maplewood Ave., Bogota, New Jersey (NAME) (RELATIONSHIP) (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional V Womans Clinic, New York Hospital, New York City, N.Y. 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 MAJOR ESPONSIBILITIES Adminis- Super Teach- General Private Other of present employment tration V 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 Not unless there seemed some special reason why At the present time would you I should do Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you a. Am past the age accept assignment to the Army? Yes No Navy? Yes No limit so would probab ly not be called. b. If it were determined that I would be more use there than here I would go. 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 Fairly goad, Run persistantly low basal metabolism. Badge No. 15445 Current date Feb. 14 1941 Name of Committee MANHATTAN C 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.

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Page
21
Source index
0
Type
photo
Media ID
b4708ba93315c6ed
Size
unknown

Document data

ID
2661638
Core
doc
Type
document
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Context sent to Scholar

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    "ocrText": "I\nC\nFORM 1045\nBEV. JAN 1941\n2\nAMERICAN RED CROSS\n(b\nNATIONAL HEADQUARTERS\n1\nWASHINGTON, D. C.\nd\nName in full\nHickcox.\nVerda\nFern\nYear of Birth Dec. 1891\na\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nF\n1320 York Ave.\nNew York\nNew York\n\"ew York\nPermanent address\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nfor the next year same as above\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number\nRegent 4 6000, Ext. 7030\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nMrs Jule Klosterman\nsister\n40 Maplewood Ave., Bogota, New Jersey\n(NAME)\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nV\nWomans Clinic, New York Hospital, New York City, N.Y.\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\nMAJOR ESPONSIBILITIES Adminis-\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment tration\nV\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\nNot unless there seemed some special reason why\nAt the present time would you\nI should do\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\na. Am past the age\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nlimit so would probab\nly not be called.\nb. If it were determined that I would be more use there than here I would go.\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? No\nPresent physical condition Fairly goad, Run persistantly low basal metabolism.\nBadge No. 15445\nCurrent date Feb. 14 1941\nName of Committee MANHATTAN\nC\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."
}