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15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United
States or any of its allies, specifying which ally in every case and the branch of service in which enrolled.
S.C. Sgt. Louis Chiffoid sume Nickman 1916.- at nephew Camp Pike In at Regular present
permission 16. of only m Southern whose creed Carlips forbids not out in Igusa
(a) Are you a member a religious sect or organization you to participate war in any
form? no
If so, state its name X
(b)
Give names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.,
to which you have at any time belonged
none
17.
(a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American
Red Cross, Y. M. C. A., K. of C., or other similar organizations? no
(b) If so, state the name of any such organization
x
18. What university or college attended? Chicago University Year graduated Did not graduate
19. Can you speak French fluently? no (a) If not, to what degree, if any? not and
20. you
What (b) other you foreign languages do easily? speak? no none (c) not, to what degree, if any ? not any
Can translate French If
State extent of your knowledge of each
X
21. As references, give names and addresses of three American citizens not related to you
mr. Hugh Stewart magill association Educational Was mind Washington D.C
Mrs Elisabeth Nenkel- 112 national R Second etr. springfield fllo
mics Parah a Egan Denonshire Str.- Boston mase
22. (a) Kind of service preferred
Nursing
C4 ecutive
(b) What do you consider your qualifications particularly fitting you for this service? Resourcefulness,
Energetic which Excellent health. transing I and experience
has (c) been fully any experience you proneering
Describe have ever had in the service of the Red Cross.
Member
Local
nursing Resouce Committee Ills District) Disaster Nork Charleston sels 1917-marsing (charged Device
23.
Would
you
enter
foreign
service?
(a) Would you serve without pay and defray all of your necessary personal expenses? no
Yes
(a)
Field Recry Central Division 1918 (3amos.)
In any country or countries where required?
24.
(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red
Cross:
Allowance for living abroad
Allowance for living prior to departure
Allowance or requisition for uniform and equipment
Allowance for transportation overseas to destination and return
Allowance for transportation in United States and return
(c) If Red Cross made adequate allowance for your expenses in the service, as per 24-b, what specific amount
would you require in addition? - $2000. 00
25. If enrolled in service (a) name earliest date you could take up work Minimum term for which
you would serve
ast long as desired
I
hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
Signed Ama Littman
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Document data
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- 2662369
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United\nStates or any of its allies, specifying which ally in every case and the branch of service in which enrolled.\nS.C. Sgt. Louis Chiffoid sume Nickman 1916.- at nephew Camp Pike In at Regular present\npermission 16. of only m Southern whose creed Carlips forbids not out in Igusa\n(a) Are you a member a religious sect or organization you to participate war in any\nform? no\nIf so, state its name X\n(b)\nGive names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.,\nto which you have at any time belonged\nnone\n17.\n(a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American\nRed Cross, Y. M. C. A., K. of C., or other similar organizations? no\n(b) If so, state the name of any such organization\nx\n18. What university or college attended? Chicago University Year graduated Did not graduate\n19. Can you speak French fluently? no (a) If not, to what degree, if any? not and\n20. you\nWhat (b) other you foreign languages do easily? speak? no none (c) not, to what degree, if any ? not any\nCan translate French If\nState extent of your knowledge of each\nX\n21. As references, give names and addresses of three American citizens not related to you\nmr. Hugh Stewart magill association Educational Was mind Washington D.C\nMrs Elisabeth Nenkel- 112 national R Second etr. springfield fllo\nmics Parah a Egan Denonshire Str.- Boston mase\n22. (a) Kind of service preferred\nNursing\nC4 ecutive\n(b) What do you consider your qualifications particularly fitting you for this service? Resourcefulness,\nEnergetic which Excellent health. transing I and experience\nhas (c) been fully any experience you proneering\nDescribe have ever had in the service of the Red Cross.\nMember\nLocal\nnursing Resouce Committee Ills District) Disaster Nork Charleston sels 1917-marsing (charged Device\n23.\nWould\nyou\nenter\nforeign\nservice?\n(a) Would you serve without pay and defray all of your necessary personal expenses? no\nYes\n(a)\nField Recry Central Division 1918 (3amos.)\nIn any country or countries where required?\n24.\n(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red\nCross:\nAllowance for living abroad\nAllowance for living prior to departure\nAllowance or requisition for uniform and equipment\nAllowance for transportation overseas to destination and return\nAllowance for transportation in United States and return\n(c) If Red Cross made adequate allowance for your expenses in the service, as per 24-b, what specific amount\nwould you require in addition? - $2000. 00\n25. If enrolled in service (a) name earliest date you could take up work Minimum term for which\nyou would serve\nast long as desired\nI\nhereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nSigned Ama Littman"
}