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Schladweiler, Rosa Marie Badge #49,263 ek RED CROSS BADGE NUMBER AMERICAN RED CROSS 49263 NURSING SERVICES MILITARY SERIAL NUMBER ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED NAME (Last, first, middle) TELEPHONE NO. SchladwelleR,Rosamarie Hemluck 7051M. IF MARRIED, GIVE MAIDEN NAME HUSBAND'S NAME PERMANENT ADDRESS (Street, city, zone, county, state) madison Minnesota PRESENT ADDRESS (Street, city, zone, county, state) NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATE'S 230 SpRing St. n.w. atlanta 3, GeoRgia RELATIONSHIP Br.a.s.schladiveiler Madison , minnesota Brother DATE OF BIRTH (Month, day, year) Single Married Separated Widowed Divorced Sebt. 4 1900 WHAT LANGUAGES DO YOU SPEAK? YES NO GeRman(Sluent) - Spanish-(little) HIGH SCHOOL GRADUATE NAME OF COLLEGE OR DEGREE OR UNIVERSITY ATTENDED LOCATION INCLUSIVE DATES DIPLOMA MAJOR University of minnesota minneapolis 1930-1940 B.S. Degree P.W-h & 2 53719 9 ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? Kansas NURSES' ASSOCIATION? $16.0. PRESENT EMPLOYMENT If not employed, check Dny POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) SERVICE (Medicine, surgery, etc.) OF aRC- HOSPITAL Consultant OR ORGANIZATION BY in WHOM EMPLOYED Name nursing SONI NAME CITY STATE HEALTH IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY good VOLUNTEER SERVICE The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are willing and able to serve if called on within the next 12 months. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS 1. Teach home YES NO Attend an instructors' training program, if offered. (Funds are available for YES NO nursing classes training home nursing instructors. See local chapter.) 2. Serve in case YES NO only in home community Attend disaster institutes, if YES NO of disaster In other communities offered, in preparation for service 3. Teach nurse's YES NO 4. Accept membership on chapter com- YES NO 5. Assist with other chapter YES NO aide classes mittee should services be needed programs, as needed If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES NO you will be able to serve at some time in the future? IF UNABLE TO SERVE, GIVE MAJOR REASONS. DATE august 13, 1945 Rosa SIGNATURE marie Schladmeiler YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHFULNESS IN KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE COMMITTEE NAMED BELOW. ATTENTION Fill in committee name and address before sending questionnaire to nurse. SECRETARY NURSE RECRUITMENT NATIONAL HEADQUARTERS COMMITTEE 9/11/19 78504M FORM 1045 Rev. July 1945

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    "ocrText": "Schladweiler, Rosa Marie\nBadge #49,263\nek\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n49263\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first, middle)\nTELEPHONE NO.\nSchladwelleR,Rosamarie\nHemluck 7051M.\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\nPERMANENT ADDRESS (Street, city, zone, county, state)\nmadison Minnesota\nPRESENT ADDRESS (Street, city, zone, county, state)\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATE'S\n230 SpRing St. n.w. atlanta 3, GeoRgia\nRELATIONSHIP\nBr.a.s.schladiveiler Madison , minnesota\nBrother\nDATE OF BIRTH (Month, day, year)\nSingle\nMarried\nSeparated\nWidowed\nDivorced\nSebt. 4 1900\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nGeRman(Sluent) - Spanish-(little)\nHIGH SCHOOL GRADUATE\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nUniversity of minnesota minneapolis\n1930-1940\nB.S. Degree P.W-h\n&\n2\n53719\n9\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nKansas\nNURSES' ASSOCIATION?\n$16.0.\nPRESENT EMPLOYMENT If not employed, check Dny\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nOF aRC- HOSPITAL Consultant OR ORGANIZATION BY in WHOM EMPLOYED Name nursing\nSONI\nNAME\nCITY\nSTATE\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\ngood\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are willing and able to\nserve if called on within the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\n1. Teach home\nYES\nNO\nAttend an instructors' training program, if offered. (Funds are available for\nYES\nNO\nnursing classes\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof disaster\nIn other communities\noffered, in preparation for service\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS.\nDATE\naugust 13, 1945\nRosa SIGNATURE marie Schladmeiler\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHFULNESS IN\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\nNURSE RECRUITMENT\nNATIONAL HEADQUARTERS\nCOMMITTEE\n9/11/19\n78504M\nFORM 1045 Rev. July 1945"
}