Ask the Scholar
Page 11 of 97
I can add historical knowledge about this page.
Page image
OCR
B
I
/
RED CROSS BADGE NUMBER
AMERICAN RED CROSS
20078
NURSING SERVICES
MILITARY SERIAL NUMBER
M
ANNUAL QUESTIONNAIRE - 1945
CHECK IF YOUR LAST NAME HAS CHANGED
1
NAME (Last, first, middle)
TELEPHONE NO.
S.
Estelle Weltman Blatt
Bit 7000
IF MARRIED, GIVE MAIDEN NAME
HUSBAND'S NAME
Max Blatt
Noltman
E
PERMANENT ADDRESS (Street, city, zone, county, state)
501 Surf Street Chicago (14) Illinois
10
PRESENT ADDRESS (Street, city, zone, county, state)
+
501 Surf Street Chicago
NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES
RELATIONSHIP
a
Max Blatt, 501 Surf Street - 134 N. La Salle Street
Husband
//
=
DATE OF BIRTH (Month, day, year)
Single
Married
Separated
Widowed
Divorced
Aug 7, 1890
x
YES
NO
e
e
WHAT LANGUAGES DO YOU SPEAK?
HIGH SCHOOL GRADUATE
German- little French
x
NAME OF COLLEGE OR
DePaul- and summers at different U's
DEGREE OR B.S.
Science
It,
UNIVERSITY ATTENDED Northwestern LOCATION Chicago
INCLUSIVE DATES
DIPLOMA
M.Ed. MAJOR Educatio
tman
R
ARE YOU CURRENTLY
YES
NO
REGISTERED IN (State)
ARE YOU CURRENTLY A MEMBER OF THE AMERICAN
YES
NO
REGISTERED?
x
Illinois
NURSES' ASSOCIATION?
x
PRESENT EMPLOYMENT If not employed, check
POSITION TITLE (H.N., P.D., inst., staff nurse, etc.)
SERVICE (Medicine, surgery, etc.)
Director, Home Nursing Service, Chicago Chapter
NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED
CITY
STATE
Chicago Chapter, A.R.C.
Chic ago, Illinois
HEALTH
IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY
good
VOLUNTEER SERVICE
The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call
to participate in a Red Cross chapter program. Please check the "Yes" box only if you are willing and able to
serve if called on within the next 12 months.
NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS
YES
Attend an instructors' training program, 1f offered. (Funds are available for
YES
NO
1. Teach home
NO
nursing classes
X
training home nursing instructors. See local chapter.)
2. Serve in case
YES
NO
only in home community
Attend disaster institutes, if
YES
NO
of disaster
In other communitie
offered, in preparation for service
NO
5. Assist with other chapter
YES
NO
3. Teach nurse's
YES
NO
4. Accept membership on chapter com-
YES
aide classes
mittee should services be needed
programs, as needed
If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that
YES
NO
you will be able to serve at some time in the future?
IF UNABLE TO SERVE, GIVE MAJOR REASONS
DATE
IGNATUBE
August 20, 1945
Callelle Wetman Blatt Ty
YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS
IN
2
KEEPING US INFORMAD OF YOUR ADDRESS. PLEASE PILL IN THIS QUESTIONNAIRE AND RETIRN to PROMPTLY TO THE
MISS
COMMITTEE NAMED BELOW.
DULIA A. MacNEILL, R.N.
ATTENTION
Fill in committee name and address before sending questionna ire to
SECRETARY
COMMITTEE
apaira
5.29 so. WABASH AVE.
NURSE RECRUITMENT
CHICAGO 5, ILLINOIS
8
78504M
FORM 1045 Rev. July 1945
Page data
- Page
- 11
- Source index
- 0
- Type
- photo
- Media ID
- 6fb8e4f83e223bf6
- Size
- unknown
Document data
- ID
- 2661122
- Core
- doc
- Type
- document
DTO data
{
"id": "2661122",
"sourceUrl": "https://catalog.archives.gov/id/2661122",
"contentType": "document",
"title": "Blatt, Mrs. Estelle R. nee Estelle R. Weltman",
"citationUrl": "https://catalog.archives.gov/id/2661122",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-01289.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-01289.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-01289.jpg",
"imageCount": 97,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "2661122",
"label": "Blatt, Mrs. Estelle R. nee Estelle R. Weltman",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/2661122"
}
Document source metadata
{
"id": "2661122",
"sourceUrl": "https://catalog.archives.gov/id/2661122",
"contentType": "document",
"title": "Blatt, Mrs. Estelle R. nee Estelle R. Weltman",
"citationUrl": "https://catalog.archives.gov/id/2661122",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-01289.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-01289.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-01289.jpg",
"imageCount": 97,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/2661122",
"naId": 2661122,
"coverageEndDate": {
"day": 4,
"logicalDate": "1962-04-04",
"month": 4,
"year": 1962
},
"coverageStartDate": {
"day": 27,
"logicalDate": "1918-03-27",
"month": 3,
"year": 1918
},
"levelOfDescription": "fileUnit",
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 11,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-01299.jpg",
"mediaId": "6fb8e4f83e223bf6",
"ocrText": "B\nI\n/\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n20078\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nM\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\n1\nNAME (Last, first, middle)\nTELEPHONE NO.\nS.\nEstelle Weltman Blatt\nBit 7000\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\nMax Blatt\nNoltman\nE\nPERMANENT ADDRESS (Street, city, zone, county, state)\n501 Surf Street Chicago (14) Illinois\n10\nPRESENT ADDRESS (Street, city, zone, county, state)\n+\n501 Surf Street Chicago\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\na\nMax Blatt, 501 Surf Street - 134 N. La Salle Street\nHusband\n//\n=\nDATE OF BIRTH (Month, day, year)\nSingle\nMarried\nSeparated\nWidowed\nDivorced\nAug 7, 1890\nx\nYES\nNO\ne\ne\nWHAT LANGUAGES DO YOU SPEAK?\nHIGH SCHOOL GRADUATE\nGerman- little French\nx\nNAME OF COLLEGE OR\nDePaul- and summers at different U's\nDEGREE OR B.S.\nScience\nIt,\nUNIVERSITY ATTENDED Northwestern LOCATION Chicago\nINCLUSIVE DATES\nDIPLOMA\nM.Ed. MAJOR Educatio\ntman\nR\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nx\nIllinois\nNURSES' ASSOCIATION?\nx\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nDirector, Home Nursing Service, Chicago Chapter\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nChicago Chapter, A.R.C.\nChic ago, Illinois\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\ngood\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are willing and able to\nserve if called on within the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\nYES\nAttend an instructors' training program, 1f offered. (Funds are available for\nYES\nNO\n1. Teach home\nNO\nnursing classes\nX\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof disaster\nIn other communitie\noffered, in preparation for service\nNO\n5. Assist with other chapter\nYES\nNO\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\naide classes\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS\nDATE\nIGNATUBE\nAugust 20, 1945\nCallelle Wetman Blatt Ty\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS\nIN\n2\nKEEPING US INFORMAD OF YOUR ADDRESS. PLEASE PILL IN THIS QUESTIONNAIRE AND RETIRN to PROMPTLY TO THE\nMISS\nCOMMITTEE NAMED BELOW.\nDULIA A. MacNEILL, R.N.\nATTENTION\nFill in committee name and address before sending questionna ire to\nSECRETARY\nCOMMITTEE\napaira\n5.29 so. WABASH AVE.\nNURSE RECRUITMENT\nCHICAGO 5, ILLINOIS\n8\n78504M\nFORM 1045 Rev. July 1945"
}