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Form 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE. PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
ROBERT W. DE FOREST, VICE PRESIDENT
MRS. AUGUST BELMONT
CORNELIUS N. BLISS
WILLIAM HOWARD TAFT. VICE PRESIDENT
THE AMERICAN RED CROSS
MABEL T. BOARDMAN
WILLIAM D. MITCHELL, COUNSELOR
MRS, HENRY P. DAVISON
GARDARD B. WINSTON, TREASURER
NATIONAL HEADQUARTERS
E. B. DOUGLAS
JOSEPH C. GREW
MABEL T. BOARDMAN. SECRETARY
WASHINGTON, D. C.
MRS. FRANK v. HAMMAR
HERBERT HOOVER
MAJ. GEN. M, W. IRELAND
NATIONAL EXECUTIVE OFFICERS
WILLIAM D. MITCHELL
W. W. MORROW
JOHN BARTON PAYNE, CHAIRMAN
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R. REA
JOHN D. RYAN
ERNEST P. BICKNELL. VICE CHAIRMAN
GEORGE E. SCOTT
April, I, I926.
REAR ADMIRAL E. R. STITT
GARRARD B. WINSTON
Dear Madam:
As you undcubtedly know, the National Committee on Red Cross Nursing Service
requires us to submit, annually, a list of all the Red Cross Nurses enrolled with our
Committee, with their latest addresses. We know that you are very busy, but we are
extremely anxious to make a very complete report to National Headquarters and ask for
your cooperation. Please answer the following questions and return this form to me,
in the enclosed envelope, at the earliest possible date.
Yours sincerely,
Chairman Secretary.
or
San Francisco
Local Committee.
Civic Auditorium, San Francisco,
Name in full
If married, give husband's name
Permanent
address Bop#106 RF3 above Hayward issif
Probable address for the next year
Telephone No.
Name and address of nearest relative
(State relationship)
Underline the type of work
you are now doing:
-
Army - Navy - U.S.P.H.Hospital - U.S. Vet. Hospital - Public
Farming
Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Mo
Have you ever been?
no
Indicate present physical condition
Would you respond to an emergency call in event of epidemic, disaster, war, etc.?
yes
Badge No. 15387
Current date
15337
april7 th 1926
NOTE.--If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrollment will be annulled.
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- Core
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- Type
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DTO data
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"ocrText": "Form 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT W. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\nGARDARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nJOSEPH C. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D. C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nMAJ. GEN. M, W. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nW. W. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nApril, I, I926.\nREAR ADMIRAL E. R. STITT\nGARRARD B. WINSTON\nDear Madam:\nAs you undcubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nChairman Secretary.\nor\nSan Francisco\nLocal Committee.\nCivic Auditorium, San Francisco,\nName in full\nIf married, give husband's name\nPermanent\naddress Bop#106 RF3 above Hayward issif\nProbable address for the next year\nTelephone No.\nName and address of nearest relative\n(State relationship)\nUnderline the type of work\nyou are now doing:\n-\nArmy - Navy - U.S.P.H.Hospital - U.S. Vet. Hospital - Public\nFarming\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Mo\nHave you ever been?\nno\nIndicate present physical condition\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nyes\nBadge No. 15387\nCurrent date\n15337\napril7 th 1926\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}