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Blatt, Mrs. Estelle R. nee Estelle R. Weltman

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B + Form 1045 Rev. Nov. 1941 + AMERICAN RED CROSS NURSING SERVICE E Blatt Estell Wetman S M Name in full Tel. No. Wat 3250 + 1 (last) (first) (middle) Weltman If married, give maiden name Year of birth 1890. S. = Marital status married Husband's name max e (single, married, widowed, divorced) E address 501 (street) Surf St. (city) Churge U Permanent (county) (state) Probable address R. + above I for the next year (street) (city) (county) (state) a Give name and address of nearest relative or friend in United States: [1 maxBlutt Rusband 501 Sunf SL. 134 3, fa Sales er (name) (relationship) (address) Are you employed in nursing at the present time? Yes No + R PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public health Industrial I Private duty Other (write in) Cenerican Red Cross. 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) 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 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 In what major was above study? field Education of Public Heart What languages, English, you speak? german- French other than do * 'Academic year (OVER)

Page data

Page
33
Source index
0
Type
photo
Media ID
acb92356d39b0a18
Size
unknown

Document data

ID
2661122
Core
doc
Type
document
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Context sent to Scholar

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    "ocrText": "B\n+\nForm 1045\nRev. Nov. 1941\n+\nAMERICAN RED CROSS\nNURSING SERVICE\nE\nBlatt Estell\nWetman\nS\nM\nName in full\nTel. No. Wat 3250\n+\n1\n(last)\n(first)\n(middle)\nWeltman\nIf married, give maiden name\nYear of birth 1890.\nS.\n=\nMarital status\nmarried\nHusband's name\nmax\ne\n(single, married, widowed, divorced)\nE\naddress 501 (street) Surf St. (city) Churge\nU\nPermanent\n(county)\n(state)\nProbable address\nR.\n+\nabove\nI\nfor the next year\n(street)\n(city)\n(county)\n(state)\na\nGive name and address of nearest relative or friend in United States:\n[1\nmaxBlutt\nRusband\n501 Sunf SL. 134 3, fa Sales\ner\n(name)\n(relationship)\n(address)\nAre you employed in nursing at the present time? Yes\nNo\n+\nR\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nI\nPrivate duty\nOther (write in)\nCenerican Red Cross.\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)\nHow many years did you attend HIGH SCHOOL?\nOne\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\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\nIn what major was above study?\nfield Education of Public Heart\nWhat languages, English, you speak? german- French\nother than do\n* 'Academic year\n(OVER)"
}