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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.

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12
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0
Type
photo
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4c4cf8f33801b8ee
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Document data

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2662369
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Type
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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."
}