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FORM 1048
REV. JAN 1941
AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D. C.
Name in full
Whyre
CAtheRIRe LILLIAN
Year of Birth 1913
(SURNAME)
(FIRST)
(MIDDLE)
"Husband's name
single
Permanent address 28 ChAmbeRs St, Princekan
MeRceR
New Jersey
(STREET)
(CITY)
(COUNTY)
(STATE)
for the next year 210 (STREET) EAst 11thSt, New (CITY) York City New (COUNTY) york
Probable address
Ricu York (STATE)
Telephone number
RhinelAnder - 2174
(EXCHANGE)
(NO.)
Give name and address of nearest relative or friend in United States:
MAude C Whyte
mother
Above peRmAniest (ADDRESS) AddRess.
(NAME)
(RELATIONSHIP)
PRESENT EMPLOYMENT (check below)
Name of agency or institution with which employed
Institutional
Public Health
Private duty
bear Hell Hospital. IIIEASE 76th St., IGG.C,
Other (write in)
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
if necessary emergency.
At the present time would you
Date
accept assignment to the Army? Yes
No
Navy? Yes
No
pelimmediately
In case of a war emergency would you
accept assignment to the Army? Yes
No
Navy? Yes
No
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? yes
Present physical condition
23
good.
Badge No. 82211
Current date 2-1-41.
Name of Committee MANHATIAN
C
Note: If a nurse does not complete and return this questionnaire, and cannot be located
within two years, her enrollment will be removed from our active files.
82311
Page data
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- Source index
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- Type
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Document data
- ID
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- Core
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- Type
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"ocrText": "FORM 1048\nREV. JAN 1941\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName in full\nWhyre\nCAtheRIRe LILLIAN\nYear of Birth 1913\n(SURNAME)\n(FIRST)\n(MIDDLE)\n\"Husband's name\nsingle\nPermanent address 28 ChAmbeRs St, Princekan\nMeRceR\nNew Jersey\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nfor the next year 210 (STREET) EAst 11thSt, New (CITY) York City New (COUNTY) york\nProbable address\nRicu York (STATE)\nTelephone number\nRhinelAnder - 2174\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nMAude C Whyte\nmother\nAbove peRmAniest (ADDRESS) AddRess.\n(NAME)\n(RELATIONSHIP)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\nbear Hell Hospital. IIIEASE 76th St., IGG.C,\nOther (write in)\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\nif necessary emergency.\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\npelimmediately\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\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? yes\nPresent physical condition\n23\ngood.\nBadge No. 82211\nCurrent date 2-1-41.\nName of Committee MANHATIAN\nC\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files.\n82311"
}