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UNNRA APPLICANT ATTENTION: MARY C. HOUSTON LETTER IN 301 file AMERICAN RED CROSS Houston Form 1037 B Rev. July 1943 Nursing Service APPLICATION FOR THE WAR RESERVE, FIRST RESERVE, AND SECOND RESERVE If already an enrolled Red Cross nurse, DO NOT file another application unless requested to do so by Red Cross national headquarters. Enrolled nurses available for military service who have not recently been in contact with the Army or Navy Nurse Corps, should write to American Red Cross, National Headquarters, Washington 13, D. C., giving badge number, pre- ferred type of service, and date of availability. Name Reich Lydin FRANCES (Last name) (First name) (Middle name) (Maiden name) F Permanent address 176 PARKWAY Riverside Cook Illinois (Street) (City) (County) (State) 1 Probable address for one peesent year 1090 Ricia (Street) Five. West (City) Englewood - Bergen - New Jeorge a (County) (State) 5 Name and permanent address of nearest relative or friend residing in the United States C Relationship Sister Mrs. HARVEY Janke 176 PARKWAY- RiveRside - Illinois (Name) (Address) Race Nationality Marital status U. S. citizenship What languages other than English do you speak? White n. S. A. Single Widowed Native born Chinese Negro Married Separated Naturalized GeRMAN Other Divorced Noncitizen If divorced attach copy of documentary evidence. If naturalized citizen give date, number, and place of naturalization certificate If not a citizen of the United States, of what comtry are you a citizen ? Date of birth July 13 1896 Place of birth Knsota. Minnesots (Month) (Day) (Year) Is father a citizen of the U.S.A.? Yes No Country of birth of father Germany If married, give husband's full name. Permanent address of husband Is your husband a member of the armed forces? Yes No If so, what branch of the service and what grade does he hold in that branch List names of minor children, giving age of each: What care has been provided for minor children for the duration of the war plus six months thereafter? What is your height in inches ? 65 Your weight in pounds ? 140 Have you had any of the following? If so, state when and degree of incapacity. Disease of the nasal sinuses N.o Tuberculosis No Nervous breakdown No Menstrual disturbance Na Major operations or serious injury Appendectomy - 1920 (Specify) (A complete physical examination will be given before assignment.) Have you given up any pursuit on account of ill health? If so, state particulars Nowe In what state or states are you registered ? Illinois + Visconsin Year 1931 + 1922 Number of Registration Certificate Ill.9382 Are you registered for the current year? Yes (wis.) Of what nursing organizations are you a member 4+5 District Wisconsin Nurse s NuRses of China Have you ever been arrested for other than minor traffic violations? If so, state particulars None Have you ever been served with a subpoena No

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6
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0
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Context sent to Scholar

Document identity
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Page context
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    "ocrText": "UNNRA APPLICANT ATTENTION: MARY C. HOUSTON\nLETTER IN 301 file\nAMERICAN RED CROSS\nHouston Form 1037\nB\nRev. July 1943\nNursing Service\nAPPLICATION FOR THE WAR RESERVE, FIRST RESERVE, AND SECOND RESERVE\nIf already an enrolled Red Cross nurse, DO NOT file another application unless requested to do so by Red Cross national\nheadquarters. Enrolled nurses available for military service who have not recently been in contact with the Army or Navy\nNurse Corps, should write to American Red Cross, National Headquarters, Washington 13, D. C., giving badge number, pre-\nferred type of service, and date of availability.\nName\nReich\nLydin\nFRANCES\n(Last name)\n(First name)\n(Middle name)\n(Maiden name)\nF\nPermanent address 176 PARKWAY\nRiverside\nCook\nIllinois\n(Street)\n(City)\n(County)\n(State)\n1\nProbable address for one peesent year 1090 Ricia (Street) Five. West (City) Englewood - Bergen - New Jeorge\na\n(County)\n(State)\n5\nName and permanent address of nearest relative or friend residing in the United States\nC\nRelationship Sister\nMrs. HARVEY Janke 176 PARKWAY- RiveRside - Illinois\n(Name)\n(Address)\nRace\nNationality\nMarital status\nU. S. citizenship\nWhat languages other than\nEnglish do you speak?\nWhite\nn. S. A.\nSingle\nWidowed\nNative born\nChinese\nNegro\nMarried\nSeparated\nNaturalized\nGeRMAN\nOther\nDivorced\nNoncitizen\nIf divorced attach copy of documentary evidence.\nIf naturalized citizen give date, number, and place of naturalization certificate\nIf not a citizen of the United States, of what comtry are you a citizen ?\nDate of birth July\n13\n1896\nPlace of birth Knsota. Minnesots\n(Month)\n(Day)\n(Year)\nIs father a citizen of the U.S.A.? Yes\nNo\nCountry of birth of father Germany\nIf married, give husband's full name.\nPermanent address of husband\nIs your husband a member of the armed forces? Yes\nNo\nIf so, what branch of the service and what\ngrade does he hold in that branch\nList names of minor children, giving age of each:\nWhat care has been provided for minor children for the duration of the war plus six months thereafter?\nWhat is your height in inches ? 65\nYour weight in pounds ? 140\nHave you had any of the following? If so, state when and degree of incapacity.\nDisease of the nasal sinuses\nN.o\nTuberculosis\nNo\nNervous breakdown\nNo\nMenstrual disturbance Na\nMajor operations or serious injury Appendectomy - 1920\n(Specify)\n(A complete physical examination will be given before assignment.)\nHave you given up any pursuit on account of ill health? If so, state particulars\nNowe\nIn what state or states are you registered ? Illinois\n+ Visconsin\nYear 1931 + 1922\nNumber of Registration Certificate Ill.9382\nAre you registered for the current year? Yes (wis.)\nOf what nursing organizations are you a member 4+5 District Wisconsin Nurse s NuRses of China\nHave you ever been arrested for other than minor traffic violations? If so, state particulars None\nHave you ever been served with a subpoena\nNo"
}