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Form 599
MICAN R 0 os ;
INDEPENDENT INVES TIGATION
5
Dept of Personnel
Loyalty THE AMERICAN Investigation RED
Rec' d MAY 2 7 1919
Bureau of Personnel
5
(Here insert with rubber stamp, address of Division Bureau of Personnel)
.
a
Referred te
CONFIDENTIAL REFERENCE
to
NATIONAL HEADQUARTERS,
to
WASHINOTON, D. C.
Date
May 23, 1919
To
Miss Frances Perkins
or
Address 230 5th Ave. N. Y. C.
Sir or Madam:
The person concerning whom this inquiry is made has applied for foreign service in The American Red
I
Cross. As an aid to it, in the performance of its duty to obtain accurate information regarding the applicant's
patriotism and loyalty to the United States, you are requested to answer all of the following questions (or to
9
state after any question which you do not answer your reason for not doing so). Your replies to these
ques-
tions will be regarded by The American Red Cross as confidential and will not be disclosed either to the appli-
5
cant or to the persons other than government officials, who, in the performance of a public duty, may be called
upon to examine them.
&
Division with
Loyalty en yesti of Personnel.
In Re Application of Agnes Mercer Shuford, 847 West End Ave. N. Y. C.
M
A. To Establish the Identity of the Person Filling Out This Form.
e
(A
woman answering the following questions may, as a means of self-identification, answer Nos. 2, 3 and 4
as regards her husband, father, or other near male relative. In so answering, she must indicate the
1
1 What name
relationship.) is your and address?
What is your business or profession? Comissioner of Idestial Commonin
230 Fifth one 8.%
2.
3. With what firm or corporation are you associated and what office in the company do you hold
Comissioner, 4. now York Stole Industrial Commission
State any present or former/business or professional associations which you have had, offices you, have
held and any public services you have rendered See. 9h.7 Countries league
see Fantho stely, aee Comicl Organizations In
was service.
5.
How long have you known the applicant? one half 7 was
B. To Establish the Loyalty of the
6.
What has been the character and extent of your acquaintance with the applicant (business, professional,
social)
Professional social
I
7.
Have you been asked to endorse the applicant's loyalty, and if so, by whom and under what circumstances?
here before
8. What is the general reputation of the applicant?
(a) for character and integrity K xcellent
(b)
for
loyalty to the United States migustions of the highest
9.
type
.
service, if any, in connection with the war (i. e., Liberty Loan, Red Cross, Y. M. C. A., War
Savings Stamps, etc., etc.) has been rendered by the applicant?
Ids not know
Page data
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Document data
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- Core
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- Type
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"ocrText": "in\nForm 599\nMICAN R 0 os ;\nINDEPENDENT INVES TIGATION\n5\nDept of Personnel\nLoyalty THE AMERICAN Investigation RED\nRec' d MAY 2 7 1919\nBureau of Personnel\n5\n(Here insert with rubber stamp, address of Division Bureau of Personnel)\n.\na\nReferred te\nCONFIDENTIAL REFERENCE\nto\nNATIONAL HEADQUARTERS,\nto\nWASHINOTON, D. C.\nDate\nMay 23, 1919\nTo\nMiss Frances Perkins\nor\nAddress 230 5th Ave. N. Y. C.\nSir or Madam:\nThe person concerning whom this inquiry is made has applied for foreign service in The American Red\nI\nCross. As an aid to it, in the performance of its duty to obtain accurate information regarding the applicant's\npatriotism and loyalty to the United States, you are requested to answer all of the following questions (or to\n9\nstate after any question which you do not answer your reason for not doing so). Your replies to these\nques-\ntions will be regarded by The American Red Cross as confidential and will not be disclosed either to the appli-\n5\ncant or to the persons other than government officials, who, in the performance of a public duty, may be called\nupon to examine them.\n&\nDivision with\nLoyalty en yesti of Personnel.\nIn Re Application of Agnes Mercer Shuford, 847 West End Ave. N. Y. C.\nM\nA. To Establish the Identity of the Person Filling Out This Form.\ne\n(A\nwoman answering the following questions may, as a means of self-identification, answer Nos. 2, 3 and 4\nas regards her husband, father, or other near male relative. In so answering, she must indicate the\n1\n1 What name\nrelationship.) is your and address?\nWhat is your business or profession? Comissioner of Idestial Commonin\n230 Fifth one 8.%\n2.\n3. With what firm or corporation are you associated and what office in the company do you hold\nComissioner, 4. now York Stole Industrial Commission\nState any present or former/business or professional associations which you have had, offices you, have\nheld and any public services you have rendered See. 9h.7 Countries league\nsee Fantho stely, aee Comicl Organizations In\nwas service.\n5.\nHow long have you known the applicant? one half 7 was\nB. To Establish the Loyalty of the\n6.\nWhat has been the character and extent of your acquaintance with the applicant (business, professional,\nsocial)\nProfessional social\nI\n7.\nHave you been asked to endorse the applicant's loyalty, and if so, by whom and under what circumstances?\nhere before\n8. What is the general reputation of the applicant?\n(a) for character and integrity K xcellent\n(b)\nfor\nloyalty to the United States migustions of the highest\n9.\ntype\n.\nservice, if any, in connection with the war (i. e., Liberty Loan, Red Cross, Y. M. C. A., War\nSavings Stamps, etc., etc.) has been rendered by the applicant?\nIds not know"
}