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Bacon, Frances Alice

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F her T FORM 1045 REV. 12-3-37 THE AMERICAN RED CROSS an A.R.C. MAIL ROOM NATIONAL HEADQUARTERS RECEIVED] WASHINGTON, D. c. e MAR 3 1939 S Reforred to Thomason A <, C Dear Red Cross Nurse: e The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross MISS ERMYL MANNI Chairman or Nurses should report at once to the E. Secretary. Secretary of the Local Committee under GRAND RAPIDS, MICHIGAN which they are enrolled. Do not forget Local Committee. the address of the Secretary. Name in full Frances alice Bacon R.N. If married, give husband's name Permanent address Farmington Oahland michigan (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year Butterworth Hospital grand Rapid (STREET, ETC.) Telephone No. 8 1281 grand Rapids Kent michigan (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Father - Reynolds Bacon, Farmington mechinion Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? no Indicate present physical condition excellent Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes Badge No. 70 224 Current date February 28, 1939 NOTE. - If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

Page data

Page
95
Source index
0
Type
photo
Media ID
24d8c56bbe7d46af
Size
unknown

Document data

ID
2661065
Core
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Type
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    "ocrText": "F\nher\nT\nFORM 1045\nREV. 12-3-37\nTHE AMERICAN RED CROSS\nan\nA.R.C. MAIL ROOM\nNATIONAL HEADQUARTERS\nRECEIVED]\nWASHINGTON, D. c.\ne\nMAR 3 1939\nS\nReforred to\nThomason\nA\n<,\nC\nDear Red Cross Nurse:\ne\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nMISS ERMYL MANNI\nChairman or\nNurses should report at once to the\nE.\nSecretary.\nSecretary of the Local Committee under\nGRAND RAPIDS, MICHIGAN\nwhich they are enrolled. Do not forget\nLocal Committee.\nthe address of the Secretary.\nName in full\nFrances alice Bacon R.N.\nIf married, give husband's name\nPermanent address\nFarmington Oahland michigan\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year Butterworth Hospital grand Rapid\n(STREET, ETC.)\nTelephone No. 8 1281\ngrand Rapids Kent michigan\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nFather - Reynolds Bacon, Farmington mechinion\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nno\nIndicate present physical condition excellent\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes\nBadge No. 70 224\nCurrent date February 28, 1939\nNOTE. - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}