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Form No. 200 DUPLICATE. Revised 25-1° AMERICAN RED CROSS No. SERVICE ENROLLMENT APPLICATION Date (OTHER THAN AS DOCTOR, SURGEON, OR NURSE) The questions should be answered as fully as possible, especially when an application for a passport may later be necessary. All answers must be in handwriting of applicant, I. Name in full Miss Nora M. Caudell, Telephone No. White Head Rural 2. Present Address Whitehead North Carolina (Number and Street) (City) (State) (a) If any changes of residence since August I, 1914, give these in full with dates. (b) What is your present business or profession? (Be specific.) Nursing (c) What previous business or professional experience have you had, stating nature, places and principal dates thereof? Private Nursing, Marion, Indiana From 1906 to 1909-Watertown S Dak from 1910 to 1918--Galaxia (d) Have you ever lived in Europe? If so, give names of European countries in which you have resided and respective dates of residence in each. No (e) Have you ever traveled in Europe? If so, name countries visited, with respective dates of visits. No (f) Since August I, 1914, have you applied for a United States passport? If so, state whether application was granted, denied or withdrawn. have not applied 3. State fully your participation in war service of U. S., or any of Allies or of enemy, or in that of any state militia. None (a) Have you ever been examined for war service? If so, state when, where and, if possible, name of ex- amining official. For enrollment of the Red Cross Nursing Service only. (b) Were you accepted, rejected, or is result of examination pending? Accepted 4. Date of birth 1882 December, 17th (a) Place of birth Whitehead, North Carolina Year Month Day (b) Full name of father Mr. James F. Caudell (c) Birthplace of father Whitehead, N. C. (d) Nationality of father Scoto Irish (e) If father foreign born, whether naturalized and when Not fore born (f) Full maiden name of mother. Elvira Kaantz (g) Birthplace of mother Laurel Springs (h) Nationality of mother Dutch (i) If mother foreign born, whether naturalized and when American Born (j) Full name and nationality of paternal grandfather James F. 11--Scotch Irish (k) Full maiden name and nationality of paternal grandmother Phoebe Hollaway-English (1) Full name and nationality of maternal grand father John Kaantz--Dutch (m) Full maiden name and nationality of maternal grandmother Louise Woody English (n) Names of all relatives nearer than second cousins living in Europe, specifying which of said relatives, if any, are now or have been in the war service of Germany, Austria, Bulgaria or Turkey. State nature and places of employment of each of such relatives not now in such war service. I have no relatives living in Europe to my knowledge (o) Names of all relatives nearer than second cousins in the war service of any of the allies of the United States, specifying which ally in every case. James F. Caude 11 (Nephew) in France

Page data

Page
18
Source index
0
Type
photo
Media ID
7ba8046b93d56fc5
Size
unknown

Document data

ID
2662419
Core
doc
Type
document
DTO data
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    "title": "Wagoner, Mrs. Nora M. nee Nora M. Caudell",
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Document identity
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    "citationUrl": "https://catalog.archives.gov/id/2662419",
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        "Records of the American National Red Cross",
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Document source extras
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    "naId": 2662419,
    "coverageEndDate": {
        "day": 21,
        "logicalDate": "1924-05-21",
        "month": 5,
        "year": 1924
    },
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        "day": 8,
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        "month": 9,
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Page context
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    "ocrText": "Form No. 200\nDUPLICATE.\nRevised 25-1°\nAMERICAN RED CROSS\nNo.\nSERVICE ENROLLMENT APPLICATION\nDate\n(OTHER THAN AS DOCTOR, SURGEON, OR NURSE)\nThe questions should be answered as fully as possible, especially when an application for a passport may later be necessary.\nAll answers must be in handwriting of applicant,\nI. Name in full\nMiss Nora M. Caudell,\nTelephone No. White Head Rural\n2. Present Address Whitehead\nNorth Carolina\n(Number and Street)\n(City)\n(State)\n(a) If any changes of residence since August I, 1914, give these in full with dates.\n(b) What is your present business or profession? (Be specific.)\nNursing\n(c) What previous business or professional experience have you had, stating nature, places and principal\ndates thereof?\nPrivate Nursing, Marion, Indiana From 1906 to 1909-Watertown S Dak from\n1910 to 1918--Galaxia\n(d) Have you ever lived in Europe? If so, give names of European countries in which you have resided\nand respective dates of residence in each.\nNo\n(e) Have you ever traveled in Europe? If so, name countries visited, with respective dates of visits.\nNo\n(f) Since August I, 1914, have you applied for a United States passport? If so, state whether application\nwas granted, denied or withdrawn.\nhave not applied\n3. State fully your participation in war service of U. S., or any of Allies or of enemy, or in that of any state\nmilitia.\nNone\n(a) Have you ever been examined for war service? If so, state when, where and, if possible, name of ex-\namining official.\nFor enrollment of the Red Cross Nursing Service only.\n(b) Were you accepted, rejected, or is result of examination pending?\nAccepted\n4. Date of birth 1882\nDecember,\n17th (a) Place of birth Whitehead, North Carolina\nYear\nMonth\nDay\n(b) Full name of father Mr. James F. Caudell\n(c) Birthplace of father Whitehead, N. C.\n(d) Nationality of father Scoto Irish\n(e) If father foreign born, whether naturalized and when Not fore born\n(f) Full maiden name of mother. Elvira Kaantz\n(g) Birthplace of mother Laurel Springs\n(h) Nationality of mother Dutch\n(i) If mother foreign born, whether naturalized and when American Born\n(j) Full name and nationality of paternal grandfather James F. 11--Scotch Irish\n(k) Full maiden name and nationality of paternal grandmother Phoebe Hollaway-English\n(1) Full name and nationality of maternal grand father John Kaantz--Dutch\n(m) Full maiden name and nationality of maternal grandmother Louise Woody English\n(n)\nNames of all relatives nearer than second cousins living in Europe, specifying which of said relatives,\nif any, are now or have been in the war service of Germany, Austria, Bulgaria or Turkey. State\nnature and places of employment of each of such relatives not now in such war service.\nI have no relatives living in Europe to my knowledge\n(o) Names of all relatives nearer than second cousins in the war service of any of the allies of the United\nStates, specifying which ally in every case.\nJames F. Caude 11 (Nephew) in France"
}