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Form 1045
Rev. Nov. 1941
AMERICAN RED CROSS
NURSING SERVICE
Name in full Wright, (last) Thomas (first) Elizabeth (middle) Tel. No. G. 8085 polyni
If married, give maiden name
Year of birth Oct, 31, 190L
Marital status
Single
Husband's name
Permanent address
1113 So alamo San Gutonis,
(single, married widowed, divorced)
Co., Texas.
Probable
for the
next address year 1113 (street) So. alamo (city)
San Autonio,
(county)
(state)
Co., Texas
(street)
(city)
(county)
(state)
Give name and address of nearest relative or friend in United States:
Mrs. In Wright (name) father (relationship) Mother, 3177 Magnaha (address) St. Corpus Christin
Are you employed in nursing at the present time? Yes
No
Texas
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
Public health
Industrial
Private duty
In P.T.S. Hasp. San autonis, Times
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)
Surg. Super
Psychiatric Nursing
night
Operating room
Beld
Anaesthesia
Siew in 113. Hosp
Public health nursing
2. Have you taken any courses in a college or university?
Infinancian inf college
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
B.A.
In
what major field was above study? nursing Education
What languages, other than English, do you speak?
German Spanish
Academic year
not fluently in either (OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
- e89b86b39e61b52c
- Size
- unknown
Document data
- ID
- 2662521
- Core
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- Type
- document
DTO data
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"ocrText": "Form 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full Wright, (last) Thomas (first) Elizabeth (middle) Tel. No. G. 8085 polyni\nIf married, give maiden name\nYear of birth Oct, 31, 190L\nMarital status\nSingle\nHusband's name\nPermanent address\n1113 So alamo San Gutonis,\n(single, married widowed, divorced)\nCo., Texas.\nProbable\nfor the\nnext address year 1113 (street) So. alamo (city)\nSan Autonio,\n(county)\n(state)\nCo., Texas\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nMrs. In Wright (name) father (relationship) Mother, 3177 Magnaha (address) St. Corpus Christin\nAre you employed in nursing at the present time? Yes\nNo\nTexas\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nIn P.T.S. Hasp. San autonis, Times\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)\nSurg. Super\nPsychiatric Nursing\nnight\nOperating room\nBeld\nAnaesthesia\nSiew in 113. Hosp\nPublic health nursing\n2. Have you taken any courses in a college or university?\nInfinancian inf college\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\nB.A.\nIn\nwhat major field was above study? nursing Education\nWhat languages, other than English, do you speak?\nGerman Spanish\nAcademic year\nnot fluently in either (OVER)"
}