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200 Form 1045 Rev. Nov. 1942 AMERICAN RED CROSS NURSING SERVICE DC Hucage If you have changed your last name since contacting us, please check here Name in full mscandlich Frances archer. (last) (first) (middle) Tel. No. Rogp. 3088 If married, give maiden name Frances B. archer Date of birth Sept15-1893 Marital status married Husband's name Randalph Walhetn (single, married, widowed, divorced) Permanent address 7523 (street) n Seeley (city) Chicago gel. (county) (state) Probable address for the next year 7523h. Seeley Once Chicago see (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: Rto. mclandlich husband (name) (relationship) 7523. (address) h. Seeley are Chicas Ill Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Cooh Cority Holp. Refersher Courne Public health Industrial Private duty Other (write in) 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 Other (specify) If not employed, what type of nursing would you prefer to render? How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No Before entering training, how many years did you attend COLLEGE? mo Did you have a five-year course granting bachelor's degree? no AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have- Postgraduate course in a hospital Experience in hospital 1. A postgraduate course or experience in any of the following services? (at least 3 months) (at least 6 months) Communicable disease nursing (include tuberculosis) Psychiatric nursing Operating room Anaesthesia 2. Have you had any courses in a college or university? Less than One Two Three Four Bachelor's Master's Ph.D. M.D. one academic year year years years years degree degree degree degree In what major field was above study? 3. Training and experience in the public health field: Postgraduate 4 months or more Henry St settement Certificate Degree Experience 6 months maternity Center Have you ever held a position as an air hostess? Yes No How long? (hew yorh City) Have you ever had any other air experience? Yes No Specify (OVER) 19/11/17

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2661919
Core
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Context sent to Scholar

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Document source extras
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Page context
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    "ocrText": "200\nForm 1045\nRev. Nov. 1942\nAMERICAN RED CROSS\nNURSING SERVICE\nDC Hucage\nIf you have changed your last name since\ncontacting us, please check here\nName in full mscandlich Frances archer.\n(last)\n(first)\n(middle)\nTel. No. Rogp. 3088\nIf married, give maiden name Frances B. archer\nDate of birth Sept15-1893\nMarital status\nmarried\nHusband's name Randalph Walhetn\n(single, married, widowed, divorced)\nPermanent address\n7523 (street) n Seeley (city) Chicago\ngel.\n(county)\n(state)\nProbable address\nfor the next year\n7523h. Seeley Once Chicago see\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nRto. mclandlich husband\n(name)\n(relationship)\n7523. (address) h. Seeley are Chicas Ill\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nCooh Cority Holp. Refersher Courne\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\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\nOther (specify)\nIf not employed, what type of nursing would you prefer to render?\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE?\nmo\nDid you have a five-year course granting bachelor's degree?\nno\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.D.\none academic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was above study?\n3. Training and experience in the public health field: Postgraduate 4 months or more\nHenry St settement\nCertificate\nDegree\nExperience 6 months\nmaternity Center\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\n(hew yorh City)\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)\n19/11/17"
}