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Maseroll, Marian Catherine

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3 e S oet 2nd Form 1045 Rev. Nov. 1942 AMERICAN RED CROSS NURSING SERVICE If you have changed your last name since Name in full m eseroll marian Catherine contacting us, please check here Tel. No. Ou5-4423 M (last) (first) (middle) If married, give maiden name - Date of birth 12-10-1898 as Marital status Single - Husband's name (single, married, widowed, divorced) Permanent address 370 (street) Central are (city) Orange (county) Essex nJ an (state) Probable address 370 (street) Central are (city) Change (county) Essex NJ for the next year (state) C Give name and address of nearest relative or friend in United States: Mrs Estella (name) meseroll (relationship) mother managemant (address) nJ a + Are you employed in nursing at the present time? Yes No 5 PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed e Institutional : Public health Industrial american hyperfounders (Social work + guard). 5 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 x Yes No Before entering training, how many years did you attend COLLEGE? Did you have a five-year course granting bachelor's degree? 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? Public Health 3. Training and experience in the public health field: Postgraduate 4 months or more to Certificate Degree Experience 6 months 12 years Have you ever held a position as an air hostess? Yes No How long? Have you ever had any other air experience? Yes No Specify (OVER)

Page data

Page
22
Source index
0
Type
photo
Media ID
d08a9d93cd179845
Size
unknown

Document data

ID
2661965
Core
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Type
document
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Context sent to Scholar

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Document source extras 
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    "coverageEndDate": {
        "day": 19,
        "logicalDate": "1945-09-19",
        "month": 9,
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Page context 
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    "ocrText": "3\ne\nS\noet\n2nd\nForm 1045\nRev. Nov. 1942\nAMERICAN RED CROSS\nNURSING SERVICE\nIf you have changed your last name since\nName in full m eseroll marian Catherine\ncontacting us, please check here\nTel. No. Ou5-4423\nM\n(last)\n(first)\n(middle)\nIf married, give maiden name\n-\nDate of birth 12-10-1898\nas\nMarital status\nSingle\n-\nHusband's name\n(single, married, widowed, divorced)\nPermanent address\n370 (street) Central are (city) Orange (county)\nEssex\nnJ\nan\n(state)\nProbable address\n370 (street) Central are (city) Change (county) Essex\nNJ\nfor the next year\n(state)\nC\nGive name and address of nearest relative or friend in United States:\nMrs Estella (name) meseroll (relationship) mother managemant (address) nJ\na\n+\nAre you employed in nursing at the present time?\nYes\nNo\n5\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\ne\nInstitutional\n:\nPublic health\nIndustrial\namerican hyperfounders (Social work + guard).\n5\nPrivate duty\nOther (write in)\nGovernment Service:\nArmy, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES Administration\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\nx\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE?\nDid you have a five-year course granting bachelor's degree?\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\nabove study? Public Health\n3. Training and experience in the public health field: Postgraduate 4 months or more\nto\nCertificate\nDegree\nExperience 6 months\n12 years\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)"
}