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Form 1045
AMERICAN RED CROSS
DC
Rev. Nov. 1942
NURSING SERVICE
20 falk
If you have changed your last name since
Wabb BLANche
contacting us, please check here.
Name in full
FRANKlIN
Tel. No. 1466
(last)
(first)
(middle)
If married, give maiden name
Date of birth June 11,1885
Marital status
sungle
Husband's name
(single, married, widowed, divorced)
Permanent address. 115th
Unguna Beach Prucess Cume
Va
(street)
(city)
(county)
(state)
Probable address
for the next year
115"St
(street)
(city)
(county)
(state)
Give name and address of nearest relative or friend in United States:
- IN WEbb
Benter
(name)
(relationship)
1018 magurlia (address) Care Narfach VA
Are you employed in nursing at the present time?
Yes
No
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
Public health
Industrial
Private duty
Other (write in)
Retured after 25 yrs. m Public Health Nursm 9
Government Service:
Army, Regular
Navy, Regular
Veterans Administration
Reserve
Reserve
Children's Bureau
U.S.P.H. Service
U.S. Indian Service
MAJOR RESPONSIBILITIES Administration
Teaching
Private duty
of present employment
Supervision
General staff
Other (specify) componetic
If not employed, what type of nursing would you prefer to render?
Equianent
How many years did you attend HIGH SCHOOL?
One
Two
Three
Mrs
Heshandian
Four
Graduated
Purate sclerres
X
Yes
No
Before entering training, how many years did you attend COLLEGE? Issuester T1 Receiver crush
Did you have a five-year course granting bachelor's degree?
No
AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-
Postgraduate course
in a hospital
Experience in hospital
1. A postgraduate course or experience in any of the following services? (at least 3 months)
(at least 6 months)
Communicable disease nursing (include tuberculosis)
Psychiatric nursing
Operating room
Anaesthesia
2. Have you had any courses in a college or university?
Less than
One
Two
Three
Four
Bachelor's
Master's
Ph.D.
M. D.
one academic year
year
years
years
years
degree
degree
degree
degree
In what major field was
above study? Publec Health Nursurs
3. Training and experience in the public health field: Postgraduate 4 months or more
Certificate
Degree
Experience 6 months
Have you ever held a position as an air hostess?
Yes
No
How long?
Have you ever had any other air experience?
Yes
No
Specify
(OVER)
Page data
- Page
- 10
- Source index
- 0
- Type
- photo
- Media ID
- e9bafdcfc37e32de
- Size
- unknown
Document data
- ID
- 2662448
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "and\nForm 1045\nAMERICAN RED CROSS\nDC\nRev. Nov. 1942\nNURSING SERVICE\n20 falk\nIf you have changed your last name since\nWabb BLANche\ncontacting us, please check here.\nName in full\nFRANKlIN\nTel. No. 1466\n(last)\n(first)\n(middle)\nIf married, give maiden name\nDate of birth June 11,1885\nMarital status\nsungle\nHusband's name\n(single, married, widowed, divorced)\nPermanent address. 115th\nUnguna Beach Prucess Cume\nVa\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\n115\"St\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\n- IN WEbb\nBenter\n(name)\n(relationship)\n1018 magurlia (address) Care Narfach VA\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nRetured after 25 yrs. m Public Health Nursm 9\nGovernment Service:\nArmy, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES Administration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral staff\nOther (specify) componetic\nIf not employed, what type of nursing would you prefer to render?\nEquianent\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nMrs\nHeshandian\nFour\nGraduated\nPurate sclerres\nX\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE? Issuester T1 Receiver crush\nDid you have a five-year course granting bachelor's degree?\nNo\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\none academic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was\nabove study? Publec Health Nursurs\n3. Training and experience in the public health field: Postgraduate 4 months or more\nCertificate\nDegree\nExperience 6 months\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)"
}