Ask the Scholar
Page 111 of 126
I can add historical knowledge about this page.
Page image
OCR
B
us
Form No. 200
DUPLICATE.
Revised 2-15-18
AMERICAN RED CROSS
No.
SERVICE ENROLLMENT APPLICATION
Date
(OTHER THAN AS DOCTOR, SURGEON, OR NURSE)
The questions should be answered as fully as possible, especially when an application for a passport may later be necessary.
All answers must be in handwriting of applicant,
I. Name in full
Sara Gertrude Bush
Telephone No Marlo-4080 J
2. Present Address
1283 Donald Avenue
Cleveland
Ohio
(Number and Street)
(City)
(State)
(a) If any changes of residence since August I, 1914, give these in full with dates.
e
Mayport Indiana March-1915
(b) What is your present business or profession? (Be specific.)
Graduate nurse (Industrial)
+
(c) What previous business or professional experience have you had, stating nature, places and principal
T
dates thereof
School teacher Jefferson. Co. Pa. 1907 1910
(d) Have you ever lived in Europe? If so, give names of European countries in which you have resided
and respective dates of residence in each.
(e) Have you ever traveled in Europe? If so, name countries visited, with respective dates of visits.
(f)
Since August I, 1914, have you applied for a United States passport? If so, state whether application
was granted, denied or withdrawn.
3. State fully your participation in war service of U. S., or any of Allies or of enemy, or in that of any state
militia.
(a) Have you ever been examined for war service? If so, state when, where and, if possible, name of ex-
amining official.
For enrollment in Red Cross nursing service
(b) Were you accepted, rejected, or is result of examination pending?
Accepted
4. Date of birth
1888
,
Nov.
13th (a) Place of birth Pa.
Year
Month
Day
(b) Full name of father.
John Anderson Bush
(c) Birthplace of father Indiana Co. Pa
(d) Nationality of father American
(e) If father foreign born, whether naturalized and when
(f) Full maiden name of mother
Ella Parantha Mohney
(g) Birthplace of mother Jefferson. Co. Pa.
(h) Nationality of mother
American
(i) If mother foreign born, whether naturalized and when
(j) Full name and nationality of paternal grandfather Phillip Bush
American
(k) Full maiden name and nationality of paternal grandmother. Catherine Siomger Ameriom
(1) Full name and nationality of maternal grand father John Mohney
American
(m) Full maiden name and nationality of maternal grandmother. Mary Ellen Mank Amer..
2
(n) Names of all relatives nearer than second cousins living in Europe, specifying which of said relatives,
if any, are now or have been in the war service of Germany, Austria, Bulgaria or Turkey. State
nature and places of employment of each of such relatives not now in such war service.
6
(o)
Names of all relatives nearer than second cousins in the war service of any of the allies of the United
States, specifying which ally in every case.
Page data
- Page
- 111
- Source index
- 0
- Type
- photo
- Media ID
- 77379a548d256d1c
- Size
- unknown
Document data
- ID
- 2661190
- Core
- doc
- Type
- document
DTO data
{
"id": "2661190",
"sourceUrl": "https://catalog.archives.gov/id/2661190",
"contentType": "document",
"title": "Bush, Sarah Gertrude",
"citationUrl": "https://catalog.archives.gov/id/2661190",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_646933_0508/40033_646933_0508-01159.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_646933_0508/40033_646933_0508-01159.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_646933_0508/40033_646933_0508-01159.jpg",
"imageCount": 126,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "2661190",
"label": "Bush, Sarah Gertrude",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/2661190"
}
Document source metadata
{
"id": "2661190",
"sourceUrl": "https://catalog.archives.gov/id/2661190",
"contentType": "document",
"title": "Bush, Sarah Gertrude",
"citationUrl": "https://catalog.archives.gov/id/2661190",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_646933_0508/40033_646933_0508-01159.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_646933_0508/40033_646933_0508-01159.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_646933_0508/40033_646933_0508-01159.jpg",
"imageCount": 126,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/2661190",
"naId": 2661190,
"coverageEndDate": {
"day": 22,
"logicalDate": "1944-09-22",
"month": 9,
"year": 1944
},
"coverageStartDate": {
"day": 22,
"logicalDate": "1917-04-22",
"month": 4,
"year": 1917
},
"levelOfDescription": "fileUnit",
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 111,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_646933_0508/40033_646933_0508-01269.jpg",
"mediaId": "77379a548d256d1c",
"ocrText": "B\nus\nForm No. 200\nDUPLICATE.\nRevised 2-15-18\nAMERICAN RED CROSS\nNo.\nSERVICE ENROLLMENT APPLICATION\nDate\n(OTHER THAN AS DOCTOR, SURGEON, OR NURSE)\nThe questions should be answered as fully as possible, especially when an application for a passport may later be necessary.\nAll answers must be in handwriting of applicant,\nI. Name in full\nSara Gertrude Bush\nTelephone No Marlo-4080 J\n2. Present Address\n1283 Donald Avenue\nCleveland\nOhio\n(Number and Street)\n(City)\n(State)\n(a) If any changes of residence since August I, 1914, give these in full with dates.\ne\nMayport Indiana March-1915\n(b) What is your present business or profession? (Be specific.)\nGraduate nurse (Industrial)\n+\n(c) What previous business or professional experience have you had, stating nature, places and principal\nT\ndates thereof\nSchool teacher Jefferson. Co. Pa. 1907 1910\n(d) Have you ever lived in Europe? If so, give names of European countries in which you have resided\nand respective dates of residence in each.\n(e) Have you ever traveled in Europe? If so, name countries visited, with respective dates of visits.\n(f)\nSince August I, 1914, have you applied for a United States passport? If so, state whether application\nwas granted, denied or withdrawn.\n3. State fully your participation in war service of U. S., or any of Allies or of enemy, or in that of any state\nmilitia.\n(a) Have you ever been examined for war service? If so, state when, where and, if possible, name of ex-\namining official.\nFor enrollment in Red Cross nursing service\n(b) Were you accepted, rejected, or is result of examination pending?\nAccepted\n4. Date of birth\n1888\n,\nNov.\n13th (a) Place of birth Pa.\nYear\nMonth\nDay\n(b) Full name of father.\nJohn Anderson Bush\n(c) Birthplace of father Indiana Co. Pa\n(d) Nationality of father American\n(e) If father foreign born, whether naturalized and when\n(f) Full maiden name of mother\nElla Parantha Mohney\n(g) Birthplace of mother Jefferson. Co. Pa.\n(h) Nationality of mother\nAmerican\n(i) If mother foreign born, whether naturalized and when\n(j) Full name and nationality of paternal grandfather Phillip Bush\nAmerican\n(k) Full maiden name and nationality of paternal grandmother. Catherine Siomger Ameriom\n(1) Full name and nationality of maternal grand father John Mohney\nAmerican\n(m) Full maiden name and nationality of maternal grandmother. Mary Ellen Mank Amer..\n2\n(n) Names of all relatives nearer than second cousins living in Europe, specifying which of said relatives,\nif any, are now or have been in the war service of Germany, Austria, Bulgaria or Turkey. State\nnature and places of employment of each of such relatives not now in such war service.\n6\n(o)\nNames of all relatives nearer than second cousins in the war service of any of the allies of the United\nStates, specifying which ally in every case."
}