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nee- May 7, 1942 Form 1045 Badge No 31097 Rev. Nov. 1941 AMERICAN RED CROSS AVED NURSING SERVICE AY $31942 Name in full Williams anna Martina le Tel. Normaland 1947.). (last) (first) (middle) If married, give maiden name anna Martin Sandistian Year of birth 1896 Marital status Married Husband's name Roland Charles Williams (single, married, widowed, divorced) Permanent address Franklin Drive Vineland Cumberland (county) New ferry (state) ? (street) (city) for Probable the next address year Franklindine Umeland Cumberland New forney (street) (city) (county) Cambon (state) Give name and address of nearest relative or friend in United States: Roland Charles Williams Hrsband (relationship) Franklin Kinve (address) Vineland Newferery (name) 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) 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) How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No SINCE GRADUATION FROM YOUR SCHOOL OF NURSING have you ever had- 1. A postgraduate course or experience in any of the following special services? Postgraduate course Experience in hospital in a hospital or public health field (at least 3 months) (at least 6 months) Communicable disease nursing (include Tbc) Psychiatric Nursing Operating room Anaesthesia Public health nursing 2. Have you taken any courses in a college or university? Less than One Two Three Four Bachelor's Master's P.H.D. Certificate in *one year year years years years degree degree degree Public Health . In what major field was above study? What languages, other than English, do you speak? Swedish Capital (OVER) * Academic year

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Page context
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    "ocrText": "nee-\nMay 7, 1942\nForm 1045\nBadge No 31097\nRev. Nov. 1941\nAMERICAN RED CROSS\nAVED\nNURSING SERVICE\nAY $31942\nName in full Williams anna Martina le Tel. Normaland 1947.).\n(last)\n(first)\n(middle)\nIf married, give maiden name anna Martin Sandistian Year of birth 1896\nMarital status Married\nHusband's name Roland Charles Williams\n(single, married, widowed, divorced)\nPermanent address Franklin Drive Vineland Cumberland (county) New ferry (state)\n?\n(street)\n(city)\nfor Probable the next address year Franklindine Umeland Cumberland New forney\n(street)\n(city)\n(county)\nCambon\n(state)\nGive name and address of nearest relative or friend in United States:\nRoland Charles Williams Hrsband (relationship) Franklin Kinve (address) Vineland Newferery\n(name)\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nSINCE GRADUATION FROM YOUR SCHOOL OF NURSING\nhave you ever had-\n1. A postgraduate course or experience in any of the following special services?\nPostgraduate course\nExperience in hospital\nin a hospital\nor public health field\n(at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include Tbc)\nPsychiatric Nursing\nOperating room\nAnaesthesia\nPublic health nursing\n2. Have you taken any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nP.H.D.\nCertificate in\n*one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\n.\nIn what major field was above study?\nWhat languages, other than English, do you speak? Swedish\nCapital (OVER)\n* Academic year"
}