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FORM 1045
AMERICAN RED CROSS
REV. DEC. 1939
NATIONAL HEADQUARTERS
QUESTIONNAIRES DESTROTEL
WASHINGTON, D. c.
Name in full neumann
(SURNAME)
Time
K (F IRST)
attangan
magdeluw
(MIDDLE)
K
Husband's name
a
Permanent address
457 West
(STREET)
(CITY)
(COUNTY)
hye.
my
(STATE)
the
Probable address
Same
T
for the next year
(STREET)
(CITY)
(COUNTY)
(STATE)
+
Telephone number Col 5-8450
S
(EXCHANGE)
(NO.)
Nearest relative or friend in United States, through whom you may be communicated with in
an emergency:
music Vera lorenues
Freue
(NAME)
(RELATIONSHIP)
M,
433 West 34 or
(STREET)
(CITY) wise
(STATE)
PRESENT WORK (check below)
Name of agency or institution with which employed
Institutional
Public Health
Private duty
- man y Bronx Requestry
Other (write in)
Government Service: Army
U.S.P.H.Service
Veterans Administration
Navy
U.S.Indian Service
Children's Bureau
IF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:
Institutional
Public Health
Private duty
Other (write in)
Would you respond to an emergency call in event of local or national emergency, such as
epidemic, flood, war, etc.
yes
(Granted of course that you could be released from present employment)
Present physical condition
9002
Would you be interested in teaching classes in Home Hygiene Care
and of the Sick? to
Are
you a member of the American Nurses' Association? No.
If not, why have you allowed your membership to lapse? never har her a member
Badge No. 19641
Current date march 31-1940
Name of Committee MANHATTAN
Note: If a nurse does not complete and return this questionnaire, and cannot be located
within two years, her enrollment will be removed from our active files.
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- Source index
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- Type
- photo
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- Core
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- Type
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Context sent to Scholar
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"ocrText": "N\n2\nFORM 1045\nAMERICAN RED CROSS\nREV. DEC. 1939\nNATIONAL HEADQUARTERS\nQUESTIONNAIRES DESTROTEL\nWASHINGTON, D. c.\nName in full neumann\n(SURNAME)\nTime\nK (F IRST)\nattangan\nmagdeluw\n(MIDDLE)\nK\nHusband's name\na\nPermanent address\n457 West\n(STREET)\n(CITY)\n(COUNTY)\nhye.\nmy\n(STATE)\nthe\nProbable address\nSame\nT\nfor the next year\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\n+\nTelephone number Col 5-8450\nS\n(EXCHANGE)\n(NO.)\nNearest relative or friend in United States, through whom you may be communicated with in\nan emergency:\nmusic Vera lorenues\nFreue\n(NAME)\n(RELATIONSHIP)\nM,\n433 West 34 or\n(STREET)\n(CITY) wise\n(STATE)\nPRESENT WORK (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\n- man y Bronx Requestry\nOther (write in)\nGovernment Service: Army\nU.S.P.H.Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nIF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nWould you respond to an emergency call in event of local or national emergency, such as\nepidemic, flood, war, etc.\nyes\n(Granted of course that you could be released from present employment)\nPresent physical condition\n9002\nWould you be interested in teaching classes in Home Hygiene Care\nand of the Sick? to\nAre\nyou a member of the American Nurses' Association? No.\nIf not, why have you allowed your membership to lapse? never har her a member\nBadge No. 19641\nCurrent date march 31-1940\nName of Committee MANHATTAN\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files."
}