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FORM 1045
REV. JAN 1941
AMERICAN RED CROSS
NATIONAL HEADQUARTERS
Name in full Tittman Anna
WASHINGTON, D. C.
Louise
Year of Birth 1884
(SURNAME)
(FIRST)
(MIDDLE)
Husband's name Not married
Permanent address Stevens Hotel, Chicago Cook
Illinois
120 S. Michigan are. (STREET)
(CITY)
(COUNTY)
I
(STATE)
Probable address
Same
for the next year
or Business address
(STREET)
(CITY)
(COUNTY)
(STATE)
Hotel- wabash
4400
Telephone number office - State 8883
88
(EXCHANGE)
(NO.)
Give name and address of nearest relative or friend in United States:
Harry A. Tittman
BroTher
1717 S. Lincoln ave. Springfield Ills.
Mrs. Robt J. Travis
Niece
119 E. Marquette Rd. Chicago Ills.
(NAME)
(RELATIONSHIP)
(ADDRESS)
PRESENT EMPLOYMENT (check below)
Name of agency or institution with which employed
Institutional X
Public Health X
Private duty
Other (write in) Executive Director Nurse Placement Service 8 So. Michigan a.
Chicago I.I.'s
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
accept assignment to the Army? Yes
No
Navy? Yes
No
available
In case of a war emergency would you
If considered move essential Than present
work and if
accept assignment to the Army? Yes
No
Navy? Yes
No
age acceptable.
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? Not at
present
Present physical condition Fair
Badge No. 6072
Current date Jan. 25 1941
Name of Committee Chicago Local Committee
Note: If a nurse does not complete and return this questionnaire, and cannot be located
2
within two years, her enrollment will be removed from our active files.
Page data
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- Source index
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- Type
- photo
- Media ID
- 4c4cf8f33801b8ee
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- unknown
Document data
- ID
- 2662369
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "+\nFORM 1045\nREV. JAN 1941\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nName in full Tittman Anna\nWASHINGTON, D. C.\nLouise\nYear of Birth 1884\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name Not married\nPermanent address Stevens Hotel, Chicago Cook\nIllinois\n120 S. Michigan are. (STREET)\n(CITY)\n(COUNTY)\nI\n(STATE)\nProbable address\nSame\nfor the next year\nor Business address\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nHotel- wabash\n4400\nTelephone number office - State 8883\n88\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nHarry A. Tittman\nBroTher\n1717 S. Lincoln ave. Springfield Ills.\nMrs. Robt J. Travis\nNiece\n119 E. Marquette Rd. Chicago Ills.\n(NAME)\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional X\nPublic Health X\nPrivate duty\nOther (write in) Executive Director Nurse Placement Service 8 So. Michigan a.\nChicago I.I.'s\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\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\nIf considered move essential Than present\nwork and if\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nage acceptable.\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? Not at\npresent\nPresent physical condition Fair\nBadge No. 6072\nCurrent date Jan. 25 1941\nName of Committee Chicago Local Committee\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\n2\nwithin two years, her enrollment will be removed from our active files."
}