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N A grd MI Form 1045 Rev. Nov. 1942 CEMA worsa AMERICAN RED CROSS P zos NURSING SERVICE Seattle-king co, If you have changed your last name since Name in full Auer, Ursula Tibbels contacting us, please check here Tel. No. Kenwood 5333 C (last) (first) (middle) If married, give maiden name Tibbels Date of birth April 23, 1883. Marital status married Husband's name Carl L. Auer Permanent address 3113 E 65th ) Seattle King (single, married, widowed, divorced) Washington. (street) (city) (county) (state) Probable address for the next year same (street) (city) (county) (state) vhania Jon Give name and address of nearest relative or friend in United States: Carl I Auer husband 3113 E. 65th Seattle, Kash (name) (relationship) (address) 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 American Red Cross Children's Clinic 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) If not employed, what type of nursing would you prefer to render? How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No Before entering training, how many years did you attend COLLEGE? 3 Did you have a five-year course granting bachelor's degree? AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have- Postgraduate course in a hospital Experience in hospital 1. A postgraduate course or experience in any of the following services? (at least 3 months) (at least 6 months) Communicable disease nursing (include tuberculosis) Psychiatric nursing Operating room Anaesthesia 2. Have you had any courses in a college or university? Less than One Two Three Four Bachelor's Master's Ph.D. M. D. one academic year year years years years degree degree degree degree In what major field was above study? Public Health nursing of Social 5 3. Training and experience in the public health field: Postgraduate 4 months or more Certificate Degree Experience 6 months Have you ever held a position as an air hostess? Yes No How long? Have you ever had any other air experience? Yes No Specify (OVER)

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    "ocrText": "N\nA\ngrd\nMI\nForm 1045\nRev. Nov. 1942\nCEMA worsa AMERICAN RED CROSS\nP\nzos\nNURSING SERVICE\nSeattle-king co,\nIf you have changed your last name since\nName in full Auer, Ursula Tibbels\ncontacting us, please check here\nTel. No. Kenwood 5333\nC\n(last)\n(first)\n(middle)\nIf married, give maiden name Tibbels\nDate of birth April 23, 1883.\nMarital status\nmarried\nHusband's name Carl L. Auer\nPermanent address 3113 E 65th ) Seattle King\n(single, married, widowed, divorced)\nWashington.\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\nsame\n(street)\n(city)\n(county)\n(state)\nvhania Jon\nGive name and address of nearest relative or friend in United States:\nCarl I Auer\nhusband 3113 E. 65th Seattle, Kash\n(name)\n(relationship)\n(address)\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nAmerican Red Cross Children's Clinic\nIndustrial\nPrivate duty\nOther (write in)\nGovernment Service:\nArmy, 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)\nIf not employed, what type of nursing would you prefer to render?\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE?\n3\nDid you have a five-year course granting bachelor's degree?\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\none academic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree degree\nIn\nwhat major field was above study? Public Health nursing of Social\n5\n3. Training and experience in the public health field: Postgraduate 4 months or more\nCertificate\nDegree\nExperience 6 months\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)"
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