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B ethe Form 1045 Rev. Nov. 1941 AMERICAN RED CROSS NURSING SERVICE Name in full Bethel , (last) Mary (first) Hamilton chief there U.S.N. Retired Tel. No. - (middle) If married, give maiden name 1 Year of birth Jan 21-1890 Marital status Single - Husband's name I (single, married, widowed divorced) Permanent address Romney (street) Place. (city) Cape May (county) Court House, (state) Cape May Cot Probable address for the next year see above N.J. (street) (city) (county) (staté) Give name and address of nearest relative or friend in United States: Mrs (name) George Garretson (relationshib) (Sister) Cape may (address) Court House, N.J. 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 Industrial Private duty Other (write in) Sl mer USN Government Service: Army, Regular Navy, Regular Retired 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) 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 So Anaesthesia Public health nursing 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 x In what major field was above study? Pey bology - Ground arration What languages, other than English, do you speak? Turkish Communication * Academic year (OVER)

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    "ocrText": "B\nethe\nForm 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full Bethel , (last) Mary (first) Hamilton\nchief there U.S.N. Retired\nTel. No. -\n(middle)\nIf married, give maiden name\n1\nYear of birth Jan 21-1890\nMarital status\nSingle\n-\nHusband's name\nI\n(single, married, widowed divorced)\nPermanent address Romney (street) Place. (city) Cape May (county) Court House, (state) Cape May Cot\nProbable address\nfor the next year\nsee above\nN.J.\n(street)\n(city)\n(county)\n(staté)\nGive name and address of nearest relative or friend in United States:\nMrs (name) George Garretson (relationshib) (Sister) Cape may (address) Court House, N.J.\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nSl mer USN\nGovernment Service: Army, Regular\nNavy, Regular\nRetired Veterans 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)\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\nSo\nAnaesthesia\nPublic health nursing\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\nx\nIn\nwhat major field was above study? Pey bology - Ground\narration\nWhat languages, other than English, do you speak? Turkish Communication\n* Academic year\n(OVER)"
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