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FORM 1045 RECEIVE REY. JAN 1941 AMERICAN RED CROSS JUL 14 1941 UL 21 1941 NATIONAL HEADQUARTERS Referred to WASHINGTON. D. C. Name in full Schladweiler Rosa mani Year of Birth Sept 4, 1900 (SURNAME) (FIRST) (MIDDLE) Husband's name Permanent address (STREET) madison (CITY) Sac Jui Carle (COUNTY) minnesota (STATE) Probable address for the next year (STREET) minneapolis (CITY) Hennifan (COUNTY) Minnesota (STATE) Telephone number University (EXCHANGE) of minnesota (NO.) Give name and address of nearest relative or friend in United States: margaret (NAME) Schladwiler (RELATIONSHIP) (Sister) madron minnesota (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public Health Private duty (homesing Consultant) american national Red Cross Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S. Indian Service Children's Bureau MAJOR RESPONSIBILITIES Adminis- Super Teach- General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available any time (Beyond age limit) In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would be interested in classes Home you teaching in Hygiene and Care of the Sick? yes Present physical condition Excellent Badge No. 49,263 will Current date July 17,1941 Name of Committee NATIONAL HEADQUARTERS 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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21
Source index
0
Type
photo
Media ID
73dff728173127a1
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2662227
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Context sent to Scholar

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    "coverageEndDate": {
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    "ocrText": "FORM\n1045\nRECEIVE\nREY. JAN 1941\nAMERICAN RED CROSS\nJUL 14 1941 UL 21 1941\nNATIONAL HEADQUARTERS\nReferred to\nWASHINGTON. D. C.\nName in full Schladweiler\nRosa mani\nYear of Birth Sept 4, 1900\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address\n(STREET)\nmadison (CITY) Sac Jui Carle (COUNTY) minnesota (STATE)\nProbable address\nfor the next year\n(STREET)\nminneapolis (CITY) Hennifan (COUNTY) Minnesota (STATE)\nTelephone number University (EXCHANGE) of minnesota (NO.)\nGive name and address of nearest relative or friend in United States:\nmargaret (NAME) Schladwiler (RELATIONSHIP) (Sister)\nmadron minnesota\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\n(homesing Consultant) american national Red Cross\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S. Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis-\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nany\ntime\n(Beyond age limit)\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould be interested in classes Home\nyou teaching in Hygiene and Care of the Sick? yes\nPresent physical condition Excellent\nBadge No. 49,263\nwill\nCurrent date July 17,1941\nName of Committee\nNATIONAL HEADQUARTERS\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."
}