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I 0 (p) Names of all relatives nearer than second cousins in the war service of the United States Government. - 5. If foreign born, give date and court of your naturalization * e 6. Single, married, widow, or widower Single (a) Number of dependents. 5 (b) Full name and address of nearest relative or friend Father, John Hoagland, Idaville, Ind. (c) Full name of wife before marriage; or husband - (d) Birthplace of wife or nusband - (e) Nationality of wife or husband - (f) Birthplace and nationality of father of wife or husband - (g) Birthplace and nationality of mother of wife or husband - 7. Kind of service preferred. (Specify.) Bnesthetist 8. Would you enter foreign service? Yes (a) If so, in what country or countries? (b) Describe fully any experience you have ever had in service of the American Red Cross. have bean a member of Red Cross since 1913 9. Would you serve without pay and defray all of your necessary expenses? to (a) With only expenses defrayed for you No (b) If not, what minimum salary would you require in addition to the defraying of your expenses? - IO. What University or College attended? Ills, Praining School Year graduated 1911 II. Can you speak French fluently No (a) If not, to what degree, if any? (b) Can you translate French easily? - . (c) If not, to what degree, if any? 12. What other foreign languages do you speak? (a) State extent of your knowledge of each 13. As references, give names and addresses of three American citizens not related to you. Dr. Andrews, 122 Michigan Aver, Chicago. Mrs. Hattie Price, Cook County Hosp. Dr.G.W. Boot, 122 S. Michigan Ave. Chicago 14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organiza- tions based on race, nationality, etc., to which you belong or have at any time belonged, since August I, 1914. Alumnae Assn. of Ills Training School American National Red Cross. Easte rn Star Union Park Chap. 15. If enrolled in service, name earliest date you could take up work at onoe #573 I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief. - Jennie Pauline Hoagland Signature. Division Personnel Committee examining application Date of report Report of Committee. (Be specific.) Date of receipt at National Headquarters Checked by Comments:

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    "ocrText": "I\n0\n(p) Names of all relatives nearer than second cousins in the war service of the United States Government.\n-\n5. If foreign born, give date and court of your naturalization\n*\ne\n6. Single, married, widow, or widower Single\n(a) Number of dependents.\n5\n(b) Full name and address of nearest relative or friend Father, John Hoagland,\nIdaville, Ind.\n(c) Full name of wife before marriage; or husband\n-\n(d) Birthplace of wife or nusband\n-\n(e) Nationality of wife or husband\n-\n(f) Birthplace and nationality of father of wife or husband\n-\n(g) Birthplace and nationality of mother of wife or husband\n-\n7. Kind of service preferred. (Specify.) Bnesthetist\n8. Would you enter foreign service? Yes (a) If so, in what country or countries?\n(b) Describe fully any experience you have ever had in service of the American Red Cross.\nhave bean a member of Red Cross since 1913\n9. Would you serve without pay and defray all of your necessary expenses?\nto\n(a) With only expenses defrayed for you\nNo\n(b)\nIf not, what minimum salary would you require in addition to the defraying of your expenses?\n-\nIO. What University or College attended? Ills, Praining School Year graduated 1911\nII. Can you speak French fluently No\n(a) If not, to what degree, if any?\n(b) Can you translate French easily?\n-\n.\n(c) If not, to what degree, if any?\n12. What other foreign languages do you speak?\n(a) State extent of your knowledge of each\n13. As references, give names and addresses of three American citizens not related to you.\nDr. Andrews, 122 Michigan Aver, Chicago.\nMrs. Hattie Price, Cook County Hosp.\nDr.G.W. Boot, 122 S. Michigan Ave. Chicago\n14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organiza-\ntions based on race, nationality, etc., to which you belong or have at any time belonged, since August I, 1914.\nAlumnae Assn. of Ills Training School\nAmerican National Red Cross. Easte rn Star Union Park Chap.\n15. If enrolled in service, name earliest date you could take up work at onoe\n#573\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\n-\nJennie Pauline Hoagland\nSignature.\nDivision Personnel Committee examining application\nDate of report\nReport of Committee. (Be specific.)\nDate of receipt at National Headquarters\nChecked by\nComments:"
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