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5
a
e
Form 1045
T
Rev. Nov. 1941
AMERICAN RED CROSS
S
NURSING SERVICE
Name in full anderson, Byrtene C.
Tel. No Caledonia 5-5200
(last)
(first)
(middle)
If married, give name
maiden Castello
Year of birth 1885
M
Marital status
revorced
Husband's name Sam m. anderson
(single, married, widowed, divorced)
rs
Permanent address 90 Guaranty (street) Trust (city) Co, 74th (county) air at 44st. (state) n.4.
Probable address
as above
for the next year
B
(street)
(city)
(county)
(state)
Y
Give name and address of nearest relative or friend in United States:
John (name) Castello - (relationship) brother. me Cune, (address) Kansas
Are you employed in nursing at the present time? Yes
No
ere
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
e
Institutional
Public health
C
Industrial
a
Private duty
Owner F Director. Odyssey Cruises J tne. (not during men.
operating)
S
Other (write in)
+
Government Service: Army, Regular
Navy, Regular
Veterans Administration
e
Reserve
Reserve
Children's Bureau
-
U.S.P.H. Service
U.S. Indian Service
-
C
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 nuraing mass Inst of Technology
4 years
Field
$ impursor of
P.N. for state up 7 canda
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? Biology r Public Health.
What languages, other than English, do you speak? French, smallering of Green , Trukish
2
* Academic year
Form 1591 sent
(OVER) of
Page data
- Page
- 11
- Source index
- 0
- Type
- photo
- Media ID
- 77e00b9aaa7f5fcf
- Size
- unknown
Document data
- ID
- 2661043
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "D\n5\na\ne\nForm 1045\nT\nRev. Nov. 1941\nAMERICAN RED CROSS\nS\nNURSING SERVICE\nName in full anderson, Byrtene C.\nTel. No Caledonia 5-5200\n(last)\n(first)\n(middle)\nIf married, give name\nmaiden Castello\nYear of birth 1885\nM\nMarital status\nrevorced\nHusband's name Sam m. anderson\n(single, married, widowed, divorced)\nrs\nPermanent address 90 Guaranty (street) Trust (city) Co, 74th (county) air at 44st. (state) n.4.\nProbable address\nas above\nfor the next year\nB\n(street)\n(city)\n(county)\n(state)\nY\nGive name and address of nearest relative or friend in United States:\nJohn (name) Castello - (relationship) brother. me Cune, (address) Kansas\nAre you employed in nursing at the present time? Yes\nNo\nere\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\ne\nInstitutional\nPublic health\nC\nIndustrial\na\nPrivate duty\nOwner F Director. Odyssey Cruises J tne. (not during men.\noperating)\nS\nOther (write in)\n+\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\ne\nReserve\nReserve\nChildren's Bureau\n-\nU.S.P.H. Service\nU.S. Indian Service\n-\nC\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL? One\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\nhealth nuraing mass Inst of Technology\n4 years\nField\n$ impursor of\nP.N. for state up 7 canda\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\nIn what major field was above study? Biology r Public Health.\nWhat languages, other than English, do you speak? French, smallering of Green , Trukish\n2\n* Academic year\nForm 1591 sent\n(OVER) of"
}