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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
Page data
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- Type
- photo
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Document data
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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"
}