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M a C MacDonald, Ida Mildred, Badge #H.D. 5231 ek RED CROSS BADGE NUMBER AMERICAN RED CROSS HD5231 NURSING SERVICES MILITARY SERIAL NUMBER ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED NAME (Last, first, middle) TELEPHONE NO. Mac Donald Ida Milrred IF MARRIED, GIVE MAIDEN NAME HUSBAND'S NAME a PERMANENT ADDRESS (Street, city, zone, county, state) Missoula Montana % Edith Mac Donald PRESENT ADDRESS (Street, city, zone, county, state) 1790 Broadway new York 19 n.y % niL.n. E NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES RELATIONSHIP Edith MacDonald -Sister- Missoula Montana Sister Mi DATE OF BIRTH (Month, day, year) Nov.13 1899 Single Married Separated Widowed Divorced - WHAT LANGUAGES DO YOU SPEAK? YES NO English HIGH SCHOOL GRADUATE V a NAME OF COLLEGE OR DEGREE OR T UNIVERSITY ATTENDED LOCATION INCLUSIVE DATES DIPLOMA MAJOR montana State unsversity Missoula , Mont. 1918-22-B.A. History ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? nebraska NURSES' ASSOCIATION? V PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) SERVICE (Medicine, surgery, etc.) Accreditation Commit Hospital Visitor NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED CITY STATE national League nursing Education new York City n.y. HEALTH IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILATY good VOLUNTEER SERVICE The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are wi ling and able to serve if called on within the next 12 months. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS 1. Teach home newyork YES NO city Attend an instructors' training program, 1f offered. (Funds are available for YES NO nursing classes training home nursing instructors. See local chapter.) 2. Serve in case YES NO only in home community Attend disaster institutes, if YES NO of d!saster In other communities offered, in preparation for service 3. Teach nurse's YES NO 4. Accept membership on chapter cóm- YES NO 5. Assist with other chapter YES NO aide classes mittee should services be needed programs, as needed I If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES NO you will be able to serve at some time in the future? is IF UNABLE TO SERVE, GIVE MAJOR REASONS DATE my work kups m the field 5/6 $ The IGNATURE time coved not be counted ufon anyone oat. 22, 1945 Ida mac Donald 5 YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPULNESS IN KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE 2 COMMITTEE NAMED BELOW. ATTENTION Fill in committee name and address before sending questionnaire to nurse. W SECRETARY NURSE RECRUITMENT NATIONAL HEADQUARTERS COMMITTEE FORM 1045 Rev. July 1945 78504M

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    "ocrText": "M\na\nC\nMacDonald, Ida Mildred, Badge #H.D. 5231\nek\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\nHD5231\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first, middle)\nTELEPHONE NO.\nMac Donald Ida Milrred\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\na\nPERMANENT ADDRESS (Street, city, zone, county, state)\nMissoula Montana % Edith Mac Donald\nPRESENT ADDRESS (Street, city, zone, county, state)\n1790 Broadway new York 19 n.y % niL.n. E\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nEdith MacDonald -Sister- Missoula Montana\nSister\nMi\nDATE OF BIRTH (Month, day, year)\nNov.13 1899\nSingle\nMarried\nSeparated\nWidowed\nDivorced\n-\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nEnglish\nHIGH SCHOOL GRADUATE\nV\na\nNAME OF COLLEGE OR\nDEGREE OR\nT\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nmontana State unsversity Missoula , Mont. 1918-22-B.A. History\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nnebraska\nNURSES' ASSOCIATION?\nV\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nAccreditation Commit Hospital Visitor\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nnational League nursing Education\nnew York City\nn.y.\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILATY\ngood\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are wi ling and able to\nserve if called on within the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\n1. Teach home\nnewyork YES NO city\nAttend an instructors' training program, 1f offered. (Funds are available for\nYES\nNO\nnursing classes\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof d!saster\nIn other communities\noffered, in preparation for service\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter cóm-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nmittee should services be needed\nprograms, as needed\nI\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nis\nIF UNABLE TO SERVE, GIVE MAJOR REASONS\nDATE my work kups m the field 5/6 $ The IGNATURE time coved not be counted ufon anyone\noat. 22, 1945\nIda mac Donald\n5\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPULNESS IN\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE\n2\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nW\nSECRETARY\nNURSE RECRUITMENT\nNATIONAL HEADQUARTERS\nCOMMITTEE\nFORM 1045 Rev. July 1945\n78504M"
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