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    "title": "Shields, Lucile M.",
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        "logicalDate": "1932-03-11",
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        "year": 1932
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    "ocrText": "Shi\nD\ne\n-\na\nForm 1037\nTHE AMERICAN NATIONAL RED CROSS NURSING SERVICE\nRev. 10-20-30\nApplication for Enrollment\n(To be filled out entirely in applicant's handwriting and each question answered fully.)\n1. Name of applicant\nin full Lucile m. Shields\nL\n2.\nPermanent address\nin full gays mills, Wisconsin\n3.\nDate of birth July 7 1901 (Year) Race white\nPlace of birth Steubew, ,Wis.\nMis\n(\nProbable address for one year gays mills, Wisconsin\nI\nF\n3°\n(Month) (Day)\n:\nBirthplace of father WisconsenMother Wisconsin Citizenship of father\nc.\n-\n4. Are you married, single or a widow? Single Are you a citizen of the United States? yes\nlo\n5. How many years have you attended Grammar school? 8 High school? 4 Normal school? 1yr.\nPrivate school?\nCollege?\nIf tutored privately, name subjects covered and length\nof time\n3\n6. What languages other than English do you speak? none\n(Underline those which you speak fluently)\n7. Occupation before entering training school Teacher. office work Hospital\n8. From what hospital training school did you receive your diploma? St mary Madison, His\nCity and State madison WisconseDate of graduation\nmay\n1929\n9. Character of Hospital: General? yes\nSpecial?\nPrivate?\n10. Did your training include medical and surgical care of men? yes Of women? yea\nPediatrics? affiliation Obstetrics? yes\nCommunicable diseases?\nno\n11. Daily average number of patients in hospital during training 150 Length of course 3 years.\n12. Name and address of superintendent of nurses under whom you received training\nSister mary ambrose, St. manj's Hospital, madison, Wis.\n13. If your training as a nurse was received in more than one hospital, give name, location and time\n/\nspent in each milwauker Children's Hospital, milwaukee, wis - 3mo.\n14. Are you a member of your Alumnae Association?\nyes\n15. Are you affiliated with the American Nurses' Association through membership in Alumnae, Dis-\ntrict and State Associations? yes\nAffiliation with the American Nurses' Association means membership in the District and Graduate Nurses' Associations of the state\nin which you are living at the present time.\n16.\nGive name and address of secretary of the District or State Association of which you are a member\n17. Are you a registered nurse In what State?WsøDate of registration aps 15- Number 7648\nEdith Partridge, 527 are endahy 1930 wis\n18. Type of work and length of service since graduation:\nPrivate huty 5 months - gentral Duty Contagious\nHospital 2 months. - general Duty on a gyn\nservice from march 1930 to Dec 1931- st mary\nHospital, st. Louis, mo.\n(Present position)\nPrivate cluty.\n19. Will you be willing to accept service if the United States becomes involved in war?\nyes\n20. (a) If interested in accepting service within the near future, indicate choice: R.C.P.H. Nürsing\nInstructor, Home Hygiene and Care of Sick; Army; Navy; U. S. Public Health Service;\nU. S. Veterans Bureau.\n(b) Date upon which you will be available for service checked\n5\n21. Are you willing to take the oath of allegiance?\nyes.\n22. Give name and permanent address of nearest relative br friend, residing in the United States\nr\nmother. mrs Thos shield game mills Wicconsin\n(state relationship)\nDate manch 11, 1932 Signature of nurse Lucile Shields\nNOTE-Nurses who have had training or experience in Public Health Nursing will, in addition to the above, fill out questions 23\nand 24 on reverse side of this blank.\nTo the Local Committee:\nThis blank is to be sent to applicant with circular letter Form 1199, together with Forms 2, 1193 and A. R. C. 703.\nApplication forms after approval and endorsement by Local Committee, with Forms 1244, 1189, and 1193 should be\na\nforwarded to National Headquarters or to the proper Branch Office.\n(OVER)"
}