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#5,643
MAY 271944
FORM 1045
AMERICAN LOS ANGELES CHAP REV. OCT.
1943
RED CROSS
NURSING SERVICE
JUN 2 1944
ANNUAL QUESTIONNAIRE-1944
Red Cross
#
AMERICAN RED CROSS
Badge number
5643
If you have changed your last name
since contacting us, please check here.
Name
in full Bethel (last) MARY (first) HAmiltoN (middle)
Tel. No. Ca 5.06947
If married, give maiden name
-
Cheftherse US.N Date of Ret'd birth Jan-21-1890
Marital status
-
-
Husband's name
(single, married, widowed divorçed)
Permanent address
121 (street) So Palm Dr, (city) BeverlyHills (county) (state) CAl.S.
Present address
121 (street) So Palm (city) Drive (county) Beverly (state) Hills Calif
Notify national headquarters immediately if you change your address.
Mrs George Garretson CapeMAY States: Court House (Sister)
Give name and address of nearest relative or friend in the United
(name)
(address)
N.J.
(relationship)
Are you employed in nursing at the present time? Yes
No
If
employed, check the type of work you are doing and fill in below the title of your position and the name
and address of the agency or institution:
Institutional
Public Health
Industrial
Private Duty
Other
If
not or employed, what type of nursing would you prefer to render? navy Nurse Corps
Red Cross overseas Navy permits
IT IS IMPERATIVE THAT YOU READ CARENULLY THE WESTIONS BELOW AND
ANSWER BY PLACING A CHECK INTHE APPROPRIATE BOX
AVAILABILITY FOR SERVICE WITH THE ARMED FORCES
Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.
For assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She
may be single or married, but if married she must have no dependents under 14 years of age.
If eligible and not already in service with the armed forces, are you:
Immediately available?
Available in the near future?
(specify date)
Not available, for the following reason
(specify)
Do you have any dependents under 14 years of age? Yes
No
AVAILABILITY FOR SERVICE WITH CIVILIANS
If qualified and not already doing so, will you be available:
To teach Red Cross Home Nursing classes?
To teach volunteer nurse's aides?
99/14
To take a Red Cross emergency assignment?
To serve overseas caring for civilians?
yes- sbould gladly perer
Have you ever served with the Red Cross in a disaster? Yes
No
If yes, specify type of disaster
Served in Sebrea Europe -
asit Director Nursing for European Commission. Sebrria our Egechastand
Record of service with Red Croas on file in basbing ton w.L
Page data
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- Source index
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- Type
- photo
- Media ID
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- Size
- unknown
Document data
- ID
- 2661110
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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"ocrText": "to\nethic\ne\n+\n5\nEAF\n3\nH\n#5,643\nMAY 271944\nFORM 1045\nAMERICAN LOS ANGELES CHAP REV. OCT.\n1943\nRED CROSS\nNURSING SERVICE\nJUN 2 1944\nANNUAL QUESTIONNAIRE-1944\nRed Cross\n#\nAMERICAN RED CROSS\nBadge number\n5643\nIf you have changed your last name\nsince contacting us, please check here.\nName\nin full Bethel (last) MARY (first) HAmiltoN (middle)\nTel. No. Ca 5.06947\nIf married, give maiden name\n-\nCheftherse US.N Date of Ret'd birth Jan-21-1890\nMarital status\n-\n-\nHusband's name\n(single, married, widowed divorçed)\nPermanent address\n121 (street) So Palm Dr, (city) BeverlyHills (county) (state) CAl.S.\nPresent address\n121 (street) So Palm (city) Drive (county) Beverly (state) Hills Calif\nNotify national headquarters immediately if you change your address.\nMrs George Garretson CapeMAY States: Court House (Sister)\nGive name and address of nearest relative or friend in the United\n(name)\n(address)\nN.J.\n(relationship)\nAre you employed in nursing at the present time? Yes\nNo\nIf\nemployed, check the type of work you are doing and fill in below the title of your position and the name\nand address of the agency or institution:\nInstitutional\nPublic Health\nIndustrial\nPrivate Duty\nOther\nIf\nnot or employed, what type of nursing would you prefer to render? navy Nurse Corps\nRed Cross overseas Navy permits\nIT IS IMPERATIVE THAT YOU READ CARENULLY THE WESTIONS BELOW AND\nANSWER BY PLACING A CHECK INTHE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She\nmay be single or married, but if married she must have no dependents under 14 years of age.\nIf eligible and not already in service with the armed forces, are you:\nImmediately available?\nAvailable in the near future?\n(specify date)\nNot available, for the following reason\n(specify)\nDo you have any dependents under 14 years of age? Yes\nNo\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf qualified and not already doing so, will you be available:\nTo teach Red Cross Home Nursing classes?\nTo teach volunteer nurse's aides?\n99/14\nTo take a Red Cross emergency assignment?\nTo serve overseas caring for civilians?\nyes- sbould gladly perer\nHave you ever served with the Red Cross in a disaster? Yes\nNo\nIf yes, specify type of disaster\nServed in Sebrea Europe -\nasit Director Nursing for European Commission. Sebrria our Egechastand\nRecord of service with Red Croas on file in basbing ton w.L"
}