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D a et e S BEORO MADIRIMA OMIAROM Are you now a member of the Aerial Nurse Corps of America? Yes No Have you ever held a position as an air hostess? Yes No How long? S FIRST RESERVE NURSES (Single and under 40 years) If not already serving with the armed forces, when and under what circumstances will you be available? SECOND RESERVE NURSES (Married or over 40, or those notified of this classification because of physical disability) In case of unlimited national emergency, do you have home or occupational responsibilities which will limit your field of service? Please specify. Would depend on need in present position at such times If so, what type of nursing would you prefer to render? I/ my services were required in present If not already teaching Red Cross Home Nursing classes would you be interested in doing so? would he interested later. position, I could teach classes Here hg- evenings. Would you teaching Volunteer Nurse's Aides? not at present. be interested in the course for Present physical condition good If any disabilities, please specify Badge No. 42460 Current date Jan.25,1942 DIST. OF COLUMBIA Name of Committee (To be filled in by Committee before questionnaire is sent to the nurse) YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE AND RETURNING IT TO US. FEB191942 MORT : 2 0 6 O

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