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williams, Form 1045 Rev. Dec. 1939 DEC 7 1040 9 AMERICAN RED CROSS National Headquarters Washington, D. C. Name in full fara Sullivan Husband's name Permanent address 1209 East Eleventh, Shawner, Oklahoma Probable address for the next year Elcentro torpital El Cantro California Telephone number 1007 Nearest relative or friend in United States, through whom you may be communicated with in an emergency: mr. t mrs. P L Sullivan, 1209 East Eleventh Shawner, Oklahoma PRESENT WORK (check below) Name of agency or institution with which employed Institutional L El Centro Hospital, Ellentro,California Public Health Private duty Other (write in) Government Service: Army U.S.P.H.Service Veterans Administration Navy U.S.Indian Service Children's Bureau IF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar: Institional Public Health Private duty Other (write in) Would you respond to an emergency call in event of local or national emergency, such as epidemic, flood, war, etc. (Granted of course that you could be released from present employment) yes Present Good physical condition Would you be interested in teaching classes in Home Hygiene and Care of the Sick? no Are you a member of the American Nurses' Association? no If not, why have you allowed your membership to lapse? Have been on suracy call Badge No. 72465 for past year thour not been Current able to attend ib 2.3, a districtinesting date TWNOLLVN Name of Committee 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. 62691 22465

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    "ocrText": "williams,\nForm 1045\nRev. Dec. 1939\nDEC 7 1040\n9\nAMERICAN RED CROSS\nNational Headquarters\nWashington, D. C.\nName in full fara Sullivan\nHusband's name\nPermanent address 1209 East Eleventh, Shawner, Oklahoma\nProbable address\nfor the next year Elcentro torpital El Cantro California\nTelephone number 1007\nNearest relative or friend in United States, through whom you may be communicated with\nin an emergency:\nmr. t mrs. P L Sullivan, 1209 East Eleventh\nShawner, Oklahoma\nPRESENT WORK (check below)\nName of agency or institution with which employed\nInstitutional\nL\nEl Centro Hospital, Ellentro,California\nPublic Health\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H.Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nIF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:\nInstitional\nPublic Health\nPrivate duty\nOther (write in)\nWould you respond to an emergency call in event of local or national emergency, such\nas epidemic, flood, war, etc.\n(Granted of course that you could be released from present employment)\nyes\nPresent Good\nphysical condition\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? no\nAre you a member of the American Nurses' Association? no\nIf\nnot, why have you allowed your membership to lapse? Have been on suracy call\nBadge No. 72465\nfor past year thour not been Current able to attend ib 2.3, a districtinesting\ndate\nTWNOLLVN\nName of Committee\nNote: If a nurse does not complete and return this questionnaire, and cannot be\nlocated within two years, her enrollment will be removed from our active files.\n62691\n22465"
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