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MOITICIMO FORM 1048
REV. OCT. 1943
AMERICAN RED CROSS
101 reed doy ovaH
oM
agY
NURSING SERVICE
asY ?agioQ VITTA
ANNUAL QUESTIONNAIRE-1944
!nenW
on
asY Sepivias xol Jegm worr bluoo DOY jand sveilso NOY oa
If you have changed your last name,
Red Cross
since contacting us, please check here.
Badge number
Name in full Ledyard (last) Dorothy (first)
vitasqe gessig Carmel
(middle)
Tel. No. 15HI
If married, give maiden name
Date of birth novel-1886
bebuloni to ard bas
Marital status
Husband's name
(single, married, widowed, divorced)
Permanent address
?
- Carmel, California (county
(street)
(city)
(state)
Present address R. F. D. Rt.1.Box 167, Carmel, California
(street)
(city)
(county)
best
(state)
aniwo
sassió
ai
on bib il
Notify national headquarters immediately if you change your address. bib
n.g.d.
vosm
woH
bedsubstD
sein's
Give name and address of nearest relative or friend in the United States:
Mrs. E.L. Beeny 2884-Montana St. Oakland, (relationship) Cal. Sister
(name)
(address)
anitusto 921000 9V371 poy bia
Are you employed in nursing at the present time? Yes
No
If employed, check the type of work you are doing and fill in below the title of your position and the
name
and address III anjnom of the agency or institution: (Istigaod B ni addrom 8 dasel Js) to 1
Public Health
Industrial
Private Duty
wo
Other
VMS ori (Isjigeori
Institutional
lo
addrown
10
SETUOO
aniaxum aldsoinummoO
If not employed, what type of nursing would you prefer to render ? none at present
IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND
ANSWER BY PLACING A CHECK IN 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 She 40.
For assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45.
99199b
may be single or married, but if married she must have no dependents under 14 years of age.
If eligible and not already in service with the armed forces, are you:
bien jadw ul
Immediately available?
Available in the near future?
(specify date)
91001
TO
andnom
a
,
odl
ni
aministi
8
Not available, for the following reason ?
Health
10
I
(specify)
Do you have any dependents under 14 years of age? Yes
No
AVAILABILITY FOR SERVICE WITH CIVILIANS
(atudargia)
1 If qualified and not already doing so, will you be available: or not for a IAV
while
work To teach 802 Red Cross Home Nursing TI aIHT CHA are Il
To teach volunteer nurse's aides' ?
To take a Red Cross emergency assignment? 21 5717 TET
il
To serve overseas caring for civilians?
Have you ever served with the Red Cross in a disaster? Yes
No
00
to ameM)
If yes, specify type of disaster Earthquake in Santa Barbara.
2
Unite)
5
Page data
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- Source index
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- Type
- photo
- Media ID
- c4be21e836fd6cf4
- Size
- unknown
Document data
- ID
- 2661812
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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"ocrText": "MOITICIMO FORM 1048\nREV. OCT. 1943\nAMERICAN RED CROSS\n101 reed doy ovaH\noM\nagY\nNURSING SERVICE\nasY ?agioQ VITTA\nANNUAL QUESTIONNAIRE-1944\n!nenW\non\nasY Sepivias xol Jegm worr bluoo DOY jand sveilso NOY oa\nIf you have changed your last name,\nRed Cross\nsince contacting us, please check here.\nBadge number\nName in full Ledyard (last) Dorothy (first)\nvitasqe gessig Carmel\n(middle)\nTel. No. 15HI\nIf married, give maiden name\nDate of birth novel-1886\nbebuloni to ard bas\nMarital status\nHusband's name\n(single, married, widowed, divorced)\nPermanent address\n?\n- Carmel, California (county\n(street)\n(city)\n(state)\nPresent address R. F. D. Rt.1.Box 167, Carmel, California\n(street)\n(city)\n(county)\nbest\n(state)\naniwo\nsassió\nai\non bib il\nNotify national headquarters immediately if you change your address. bib\nn.g.d.\nvosm\nwoH\nbedsubstD\nsein's\nGive name and address of nearest relative or friend in the United States:\nMrs. E.L. Beeny 2884-Montana St. Oakland, (relationship) Cal. Sister\n(name)\n(address)\nanitusto 921000 9V371 poy bia\nAre you employed in nursing at the present time? Yes\nNo\nIf employed, check the type of work you are doing and fill in below the title of your position and the\nname\nand address III anjnom of the agency or institution: (Istigaod B ni addrom 8 dasel Js) to 1\nPublic Health\nIndustrial\nPrivate Duty\nwo\nOther\nVMS ori (Isjigeori\nInstitutional\nlo\naddrown\n10\nSETUOO\naniaxum aldsoinummoO\nIf not employed, what type of nursing would you prefer to render ? none at present\nIT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under She 40.\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45.\n99199b\nmay be single or married, but if married she must have no dependents under 14 years of age.\nIf eligible and not already in service with the armed forces, are you:\nbien jadw ul\nImmediately available?\nAvailable in the near future?\n(specify date)\n91001\nTO\nandnom\na\n,\nodl\nni\naministi\n8\nNot available, for the following reason ?\nHealth\n10\nI\n(specify)\nDo you have any dependents under 14 years of age? Yes\nNo\nAVAILABILITY FOR SERVICE WITH CIVILIANS\n(atudargia)\n1 If qualified and not already doing so, will you be available: or not for a IAV\nwhile\nwork To teach 802 Red Cross Home Nursing TI aIHT CHA are Il\nTo teach volunteer nurse's aides' ?\nTo take a Red Cross emergency assignment? 21 5717 TET\nil\nTo serve overseas caring for civilians?\nHave you ever served with the Red Cross in a disaster? Yes\nNo\n00\nto ameM)\nIf yes, specify type of disaster Earthquake in Santa Barbara.\n2\nUnite)\n5"
}