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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"
}