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I Form 1045 Rev. Nov. 1941 AMERICAN RED CROSS NURSING SERVICE Name in full Hobein Cora FLossie (last) (first) (middle) Tel. No. Barring ton 204W 0 If married, give maiden name Year of birth 1884 Marital status Single Husband's name a (single, married, widowed, divorced) Permanent address 400 (s@eet) grove Ave. Barring ton (county) Coo ILLinois (state) Probable address F for the next year 400 grove (street) Ave. B Cook ILLinoic - (county) (state) 0 Give name and address of nearest relative or friend in United States: Benj (name) H. Hobein Brother 400 Barrington, ILL. S (relationship) si - Are you employed in nursing at the present time? Yes No planning to teach R. C Home PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed bursing class in February e Institutional Public health Industrial Private duty Other (write in) Busy in home and Local Community Government Service: Army, Regular Navy, Regular Veterans Administration Reserve Reserve Children's Bureau U.S.P.H. Service U.S. Indian Service MAJOR RESPONSIBILITIES Administration Teaching Private duty of present employment Supervision General Staff Mother (specify) How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No SINCE GRADUATION FROM YOUR SCHOOL OF NURSING Equivalent of High School have you ever had- 1. A postgraduate course or experience in any of the following special services? Postgraduate course Experience in hospital in a hospital or public health field (at least 3 months) (at least 6 months) Communicable disease nursing (include Tbc) Psychiatric Nursing Operating room Anaesthesia Public health nursing 2. Have you taken any courses in a college or university? NOTICE Signature SENT. Less than One Two Three Four Bachelor's Master's P.H.D. Certificate in *one year year years years years degree degree degree Public Health Registered public Health nurse in ILL. In what major field was above study? Public Health. Hospital Adminis tration What languages, other than English, do you speak? Chinese german 120 CERT * Academic year (OVER)

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    "ocrText": "I\nForm 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full\nHobein\nCora\nFLossie\n(last)\n(first)\n(middle)\nTel. No. Barring ton 204W\n0\nIf married, give maiden name\nYear of birth 1884\nMarital status\nSingle\nHusband's name\na\n(single, married, widowed, divorced)\nPermanent address 400 (s@eet) grove Ave. Barring ton (county) Coo\nILLinois\n(state)\nProbable address\nF\nfor the next year 400 grove (street) Ave. B\nCook\nILLinoic\n-\n(county)\n(state)\n0\nGive name and address of nearest relative or friend in United States:\nBenj (name) H. Hobein\nBrother\n400 Barrington, ILL.\nS\n(relationship)\nsi\n-\nAre you employed in nursing at the present time? Yes\nNo\nplanning to teach R. C Home\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nbursing class in February\ne\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nBusy in home and Local Community\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nMother (specify)\nHow many years did you attend HIGH SCHOOL? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nSINCE GRADUATION FROM YOUR SCHOOL OF NURSING\nEquivalent of High School\nhave you ever had-\n1. A postgraduate course or experience in any of the following special services?\nPostgraduate course\nExperience in hospital\nin a hospital\nor public health field\n(at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include Tbc)\nPsychiatric Nursing\nOperating room\nAnaesthesia\nPublic health nursing\n2. Have you taken any courses in a college or university?\nNOTICE Signature\nSENT.\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nP.H.D.\nCertificate in\n*one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nRegistered public Health nurse in ILL.\nIn what major field was\nabove study? Public Health. Hospital Adminis tration\nWhat languages, other than English, do you speak?\nChinese\ngerman\n120\nCERT\n*\nAcademic year\n(OVER)"
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