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4.2
E
+
33 Reo. (Bean)
ho# 2caud
FORM 1045
AMERICAN RED CROSS
new no.2 card
REV. DEC. 1939
NATIONAL HEADQUARTERS
made 1/12/4men.
WASHINGTON, D.C.
Name in full
cadel
Frez
Louise
(SURNAME)
(FIRST)
(MIDDLE)
Husband's name
Permanent address
Gillington
Va .
(STREET)
(CITY)
(COUNTY)
(STATE)
Probable address
for the next year
Same
(STREET)
(CITY)
(COUNTY)
(STATE)
Telephone number
Jackson
1813
(EXCHANGE)
(NO.)
Nearest relative or friend in United States, through whom you may be communicated with in
an emergency:
Jessie M. cadel
sister
(NAME)
(RELATIONSHIP)
same address
(STREET)
(CITY)
(STATE)
PRESENT WORK (check below)
Name of agency or institution with which employed
Institutional
Public Health
Instructive visiting Nurse society
Private duty
Other (write in)
Government Service: Army
U.S.P.H.Service
Veterans Administration
Navy
U.S. Indian Service
Children's Bureau
IF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:
Institutional
Public Health
Private duty
Other (write in)
Would you respond to an emergency call in event of local or national emergency, such as
epidemic, flood, war, etc.
yes
(Granted of course that you could be released from present employment)
Present physical condition
Excellent
Would you be interested in teaching classes in Home Hygiene and Care of the Sick? Not aY present
Are you a member of the American Nurses' Association?
yes
If not, why have you allowed your membership to lapse?
Badge No.
Current date Feb. 1940
Name of Committee DIST. OF COLUMBIA
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.
Page data
- Page
- 13
- Source index
- 0
- Type
- photo
- Media ID
- c6f3d69b635ad71c
- Size
- unknown
Document data
- ID
- 2661197
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source extras
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"coverageEndDate": {
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"logicalDate": "1946-03-01",
"month": 3,
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"logicalDate": "1919-10-11",
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Page context
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"ocrText": "4.2\nE\n+\n33 Reo. (Bean)\nho# 2caud\nFORM 1045\nAMERICAN RED CROSS\nnew no.2 card\nREV. DEC. 1939\nNATIONAL HEADQUARTERS\nmade 1/12/4men.\nWASHINGTON, D.C.\nName in full\ncadel\nFrez\nLouise\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address\nGillington\nVa .\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nfor the next year\nSame\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number\nJackson\n1813\n(EXCHANGE)\n(NO.)\nNearest relative or friend in United States, through whom you may be communicated with in\nan emergency:\nJessie M. cadel\nsister\n(NAME)\n(RELATIONSHIP)\nsame address\n(STREET)\n(CITY)\n(STATE)\nPRESENT WORK (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nInstructive visiting Nurse society\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H.Service\nVeterans Administration\nNavy\nU.S. Indian Service\nChildren's Bureau\nIF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nWould you respond to an emergency call in event of local or national emergency, such as\nepidemic, flood, war, etc.\nyes\n(Granted of course that you could be released from present employment)\nPresent physical condition\nExcellent\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? Not aY present\nAre you a member of the American Nurses' Association?\nyes\nIf not, why have you allowed your membership to lapse?\nBadge No.\nCurrent date Feb. 1940\nName of Committee DIST. OF COLUMBIA\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."
}