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Bureau oj Nursing Service For 599 APPLICANT'S REFERENCE THE AMERICAN RED CROSS 5 Bureau of Personnel 5 (Here insert with ivision Bureau of Personnel) 44 EAST 28RD ST. a CONFIDENTIALT REFERENCE f Date Aps 29,1919 0 T To. miss Rye morely Address 16/West 614/St NYC 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 0 patriotism and loyalty to the United States, you are requested to answer all of the following questions (or to state after any question which you do not answer your reason for not doing so). Your replies to these questions will be regarded by The American Red Cross as confidential and will not be disclosed either to the applicant 5 or to the persons other than government officials, who, in the performance of a public duty, may be called upon to examine them. Flances m Director, Burgau of Personnel. Johnson In Re Application of miss Agnes m Sherobid Thursing service 3 A. To Establish the Identity of the Person Filling Out this Form. (A woman answering the following questions may, as a means of self-identification, answer Nos. 2, 3 and 4 as e regards her husband, father, or other near male relative. In so answering, she must indicate the relation- ship.) 1. What is your name and address? Myleyly huw Garlin number and 2. What is your business or profession ? childi Hospital -4.4 city 3. With what firm or corporation are you associated and what office in the company do you hold? newly only nursery and Childi Hospital - Superindental 4. State any present or former business or professional associations which you have had, offices you have held and any public services you have rendered Exacutive pusilines in Commetime with the and lunus Since Huspitals h. York City- also in Commition with the Bufful Sunal Buffalo by B. To Establish the Loyalty of the Applicant. 5. How long have you known the applicant? Eleven evans 6. What has been the character and extent of your acquaintance with the applicant (business, professional, social) Professional. as a Student nurse ah the 8 resenfirian Hunfridal Culi as a patract of that hunditution Since 19.7 luin Sluefand has been rempaling facilinus requiring Equitine ability - in this trultution h 7.hursey chied T mail 7. Have you been asked to endorse the applicant's loyalty, and if so, by whom and under what circumstances? then lugusty has used ah any time - to amp been questional 8. What is the general reputation of the applicant, (a) for character and integrity achands of unisual uprishical (b) for loyalty to the United States. also Lun inquistionable 9. What public 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 th applicant ? him Stulfand amilia with the Linst Second. thund and famil Liberty Succe Drives. and busseff Contributed lungelly.

Page data

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96
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photo
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Document data

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Core
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Type
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Context sent to Scholar

Document identity
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Page context
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    "ocrText": "Bureau oj Nursing Service\nFor 599\nAPPLICANT'S REFERENCE\nTHE AMERICAN RED CROSS\n5\nBureau of Personnel\n5\n(Here insert with ivision Bureau of Personnel)\n44 EAST 28RD ST.\na\nCONFIDENTIALT\nREFERENCE\nf\nDate Aps 29,1919\n0\nT\nTo. miss Rye morely\nAddress 16/West 614/St NYC\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\n0\npatriotism and loyalty to the United States, you are requested to answer all of the following questions (or to\nstate after any question which you do not answer your reason for not doing so). Your replies to these questions\nwill be regarded by The American Red Cross as confidential and will not be disclosed either to the applicant\n5\nor to the persons other than government officials, who, in the performance of a public duty, may be called upon\nto examine them.\nFlances m\nDirector, Burgau of Personnel.\nJohnson\nIn Re Application of miss Agnes m Sherobid\nThursing service\n3\nA. To Establish the Identity of the Person Filling Out this Form.\n(A woman answering the following questions may, as a means of self-identification, answer Nos. 2, 3 and 4 as\ne\nregards her husband, father, or other near male relative. In so answering, she must indicate the relation-\nship.)\n1. What is your name and address? Myleyly\nhuw Garlin number and\n2.\nWhat is your business or profession ? childi Hospital -4.4 city\n3. With what firm or corporation are you associated and what office in the company do you hold?\nnewly only nursery and Childi Hospital - Superindental\n4.\nState any present or former business or professional associations which you have had, offices you have held\nand any public services you have rendered Exacutive pusilines in Commetime\nwith the and lunus Since Huspitals h. York City-\nalso in Commition with the Bufful Sunal Buffalo by\nB. To Establish the Loyalty of the Applicant.\n5. How long have you known the applicant?\nEleven evans\n6. What has been the character and extent of your acquaintance with the applicant (business, professional,\nsocial) Professional. as a Student nurse ah the\n8 resenfirian Hunfridal Culi as a patract of\nthat hunditution Since 19.7 luin Sluefand has\nbeen rempaling facilinus requiring Equitine ability - in\nthis trultution h 7.hursey chied T mail\n7. Have you been asked to endorse the applicant's loyalty, and if so, by whom and under what circumstances?\nthen lugusty has used ah any time - to amp\nbeen questional\n8. What is the general reputation of the applicant,\n(a)\nfor character and integrity achands\nof unisual uprishical\n(b) for loyalty to the United States. also Lun inquistionable\n9.\nWhat public service, 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 th applicant ?\nhim Stulfand amilia with the Linst Second. thund\nand famil Liberty Succe Drives. and busseff Contributed\nlungelly."
}