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FORM 1045 REV. JAN 1941 AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON. D.C. Name in full Schlesinger Stefania Year of Birth 1898 (SURNAME) (FIRST) (MIDDLE) Husband's name Permanent address 129 Prospect (STREET) Place So (CITY) Orange Essex n.J. (COUNTY) (STATE) Probable address for the next yearl 129 Prospect (STREET) Place So (CITY) (Orange Essey n.J. (COUNTY) (STATE) Telephone number So 2 9156 (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: Mrs L7 Bird friend (NAME) (RELATIONSHIP) 129 Prospect Place (ADDRESS) So Grange h J. PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional after Aprill-1941 Public Health Bubics' Hospital Coit Memorial Private duty 15 Roseville Ave Other (write in) Newark n.J. 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 not for y in accept assignment to the Army? Yes No Navy? Yes No available April 19412 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 you be interested in teaching classes in Home Hygiene and Care of the Sick? Unable now Present physical condition Excellent Badge No. H.D.2224 Name of Committee Newark Local n.J. Current date March 3-1941 SC 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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94
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0
Type
photo
Media ID
13cca2f7d95e7a60
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2662228
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Context sent to Scholar

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Page context
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    "ocrText": "FORM 1045\nREV. JAN 1941\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON. D.C.\nName in full Schlesinger Stefania\nYear of Birth 1898\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address 129 Prospect (STREET) Place So (CITY) Orange\nEssex\nn.J.\n(COUNTY)\n(STATE)\nProbable address\nfor the next yearl 129 Prospect (STREET) Place So (CITY) (Orange\nEssey\nn.J.\n(COUNTY)\n(STATE)\nTelephone number\nSo\n2\n9156\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nMrs L7 Bird\nfriend\n(NAME)\n(RELATIONSHIP)\n129 Prospect Place (ADDRESS) So Grange h J.\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nafter Aprill-1941\nPublic Health\nBubics' Hospital Coit Memorial\nPrivate duty\n15 Roseville Ave\nOther (write in)\nNewark n.J.\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 not for y in\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable April 19412\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 you be interested in teaching classes in Home Hygiene and Care of the Sick? Unable now\nPresent physical condition\nExcellent\nBadge No. H.D.2224\nName of Committee\nNewark Local n.J.\nCurrent date March 3-1941\nSC\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."
}