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FORM 1045-B
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
A. R. C. MAJL ROOM
WASHINGTON, D.C.
RECEIVED
D
JAN 22 1937
5
JAN .1 2 1937
meferred To
+
5
Dear Madam:
e
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are
extremely anxious to make a very complete report and ask for your cooperation. Will
you kindly answer the following questions and return this form to me, in the enclosed
envelope, at the earliest possible date?
Yours sincerely,
Ida 7. Butter
National Director,
Red Cross Nursing Service
Name in full (Miss) Antoinette Ahlschier
If married, give husband's name
Permanent
address Apartado #2625, Mexico. D.F.
Probable address for the next year
same as above
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Am living with mys siter here there fore not necessary to give any in U.S.
Indicate the type of work
you are now doing:
none
Am planning to begin a class in Home Hygiene in American school here
x
next month. Any new literature will be appreciated.
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?
Have you ever been?
yes
(evit
Bennett
Indicate present physical condition
good
yop
I
Would you respond to an emergency call in event of epidemic, disaster, war, etc.?
WJS.
-
Badge No.
409
Jan. 18,1937
S
Current date
NOTE. If the nurse does not complete and return this questionnaire, and can not
be
0
located within two years, her enrolment will be removed from our active files.
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"ocrText": "A\n5\n-\nFORM 1045-B\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nA. R. C. MAJL ROOM\nWASHINGTON, D.C.\nRECEIVED\nD\nJAN 22 1937\n5\nJAN .1 2 1937\nmeferred To\n+\n5\nDear Madam:\ne\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYours sincerely,\nIda 7. Butter\nNational Director,\nRed Cross Nursing Service\nName in full (Miss) Antoinette Ahlschier\nIf married, give husband's name\nPermanent\naddress Apartado #2625, Mexico. D.F.\nProbable address for the next year\nsame as above\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nAm living with mys siter here there fore not necessary to give any in U.S.\nIndicate the type of work\nyou are now doing:\nnone\nAm planning to begin a class in Home Hygiene in American school here\nx\nnext month. Any new literature will be appreciated.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been?\nyes\n(evit\nBennett\nIndicate present physical condition\ngood\nyop\nI\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nWJS.\n-\nBadge No.\n409\nJan. 18,1937\nS\nCurrent date\nNOTE. If the nurse does not complete and return this questionnaire, and can not\nbe\n0\nlocated within two years, her enrolment will be removed from our active files."
}