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B u = FORM 1045 REV. JAN 1941 R AMERICAN RED CROSS NATIONAL HEADQUARTERS F WASHINGTON, D. C. Name in full AC Bullard. florence thuch Year of Birth 1888 (SURNAME) (FIRST) (MIDDLE) Husband's name Permanent address Pendell (STREET) Rd. Prighteefair ACITY) Dutchess. (COUNTY) newern (STATE) Probable for the next address year Pendell Rd. Poughturpaie Dutchus. (STREET) (CITY) (COUNTY) newyork. (STATE) Telephone number Poug Huppair 2566 (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: Mrs. (NAME) H St.John Williams. (RELATIONSHIP) friend Pendue Rd. (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional L Public Health Sanil t luttic Boone Hoopt Paughterpou Private duty Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR RESPONSIBILITI Jinis Super Teach General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? Present physical condition good. Badge No. 6741. Name of Committee Paughkergain, n.y Current date tay. 26.141. Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enrollment will be removed from our active files.

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Page context
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    "ocrText": "B\nu\n=\nFORM 1045\nREV. JAN 1941\nR\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nF\nWASHINGTON, D. C.\nName\nin full AC Bullard. florence thuch Year of Birth 1888\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address Pendell (STREET) Rd. Prighteefair ACITY) Dutchess. (COUNTY) newern (STATE)\nProbable\nfor the\nnext address year Pendell Rd. Poughturpaie Dutchus.\n(STREET)\n(CITY)\n(COUNTY)\nnewyork.\n(STATE)\nTelephone number Poug\nHuppair\n2566\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nMrs. (NAME) H St.John Williams. (RELATIONSHIP) friend Pendue Rd. (ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nL\nPublic Health\nSanil t luttic Boone Hoopt Paughterpou\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITI\nJinis\nSuper\nTeach\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick?\nPresent physical condition\ngood.\nBadge No.\n6741.\nName of Committee\nPaughkergain, n.y\nCurrent date tay. 26.141.\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files."
}