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15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United
States or any of its allies, specifying which ally in every case and the branch of service in which enrolled.
Grant If Lenno, Cousin - Drafted in June 1918
16. (a) Are you a member of a religious sect or organization whose creed forbids you to participate in war in any
form?
If so, state its name
No
(b) Give names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.,
to which you have at any time belonged
100% American Society of Colorado Springe
17. (a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American
Red Cross, Y. M. C. A., K. of C., or other similar organizations?
No
(b) If so, state the name of any such organization
18. What university or college attended?
Year graduated
19. Can you speak French fluently
(a) If not, to what degree, if any
No
None
(b) Can you translate French easily
(c) If not, to what degree, if any?
None
20. What other foreign languages do you speak
None
State extent of your knowledge of each
21. As references, give names and addresses of three American citizens not related to you
Rev. Robt. B. welf, 311 E Platte Ave., Colorado springs, Colo.
Prof. Re H. Hotton, Polham Place,
ML Anna Jacoba. 15 N Tojon St.
22. (a) Kind of service preferred
Nursing service
(b) What do you consider your qualifications particularly fitting you for this service?
Gradua to masse
(c) Describe fully any experience you have ever had in the service of the Red Cross
None
23. Would you enter foreign service?
(a) In any country or countries where required?
Yes
Yes
24. (a) Would you serve without pay and defray all of your necessary personal expenses?
No.
(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red
Cross:
Allowance for living abroad
expect compensation
Allowance for living prior to departure
that graduate
Allowance or requisition for uniform and equipment
nurses receive
Allowance for transportation overseas to destination and return
in foreign service
Allowance for transportation in United States and return
(c) If Red Cross made adequate allowance for your expenses in the service, as per 24-b, what specific amount
would you require in addition?
25. If enrolled in service (a) name earliest date you could take up work
(b) Minimum term for which
Sept 1st
you would serve
Duration of war
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
Signed
Blanche I Lowis
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"ocrText": "15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United\nStates or any of its allies, specifying which ally in every case and the branch of service in which enrolled.\nGrant If Lenno, Cousin - Drafted in June 1918\n16. (a) Are you a member of a religious sect or organization whose creed forbids you to participate in war in any\nform?\nIf so, state its name\nNo\n(b) Give names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.,\nto which you have at any time belonged\n100% American Society of Colorado Springe\n17. (a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American\nRed Cross, Y. M. C. A., K. of C., or other similar organizations?\nNo\n(b) If so, state the name of any such organization\n18. What university or college attended?\nYear graduated\n19. Can you speak French fluently\n(a) If not, to what degree, if any\nNo\nNone\n(b) Can you translate French easily\n(c) If not, to what degree, if any?\nNone\n20. What other foreign languages do you speak\nNone\nState extent of your knowledge of each\n21. As references, give names and addresses of three American citizens not related to you\nRev. Robt. B. welf, 311 E Platte Ave., Colorado springs, Colo.\nProf. Re H. Hotton, Polham Place,\nML Anna Jacoba. 15 N Tojon St.\n22. (a) Kind of service preferred\nNursing service\n(b) What do you consider your qualifications particularly fitting you for this service?\nGradua to masse\n(c) Describe fully any experience you have ever had in the service of the Red Cross\nNone\n23. Would you enter foreign service?\n(a) In any country or countries where required?\nYes\nYes\n24. (a) Would you serve without pay and defray all of your necessary personal expenses?\nNo.\n(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red\nCross:\nAllowance for living abroad\nexpect compensation\nAllowance for living prior to departure\nthat graduate\nAllowance or requisition for uniform and equipment\nnurses receive\nAllowance for transportation overseas to destination and return\nin foreign service\nAllowance for transportation in United States and return\n(c) If Red Cross made adequate allowance for your expenses in the service, as per 24-b, what specific amount\nwould you require in addition?\n25. If enrolled in service (a) name earliest date you could take up work\n(b) Minimum term for which\nSept 1st\nyou would serve\nDuration of war\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nSigned\nBlanche I Lowis"
}