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RED CROSS BADGE NUMBER
AMERICAN RED CROSS
110412
NURSING SERVICES
MILITARY SERIAL NUMBER
ANNUAL QUESTIONNAIRE - 1945
CHECK IF YOUR LAST NAME HAS CHANGED
Mrs.
NAME (Last, first, middle)
TELEPHONE NO.
Cartier. June Marjeanne
285-W Neganance
IF MARRIED, GIVE MAIDEN NAME
HUSBAND'S NAME
Dushane, June Marjeanne
Albert J. Cartier
PERMANENT ADDRESS (Street, city, zone, county, state)
F
PRESENT ADDRESS (Street, city, zone, county, state)
213 Gold St. Negannee Michigan (manguetle county)
Same as above
NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES
RELATIONSHIP
(Parents) Frank. Jennie Dushane 308 Hunges food Ave, Negannes, Mich.
Parents
DATE OF BIRTH (Month, day, year)
august 31st 1920
Single
Married
Separated
W1 .dowed
Divorced
WHAT LANGUAGES DO YOU SPEAK?
YES
NO
English and Finnish
HIGH SCHOOL GRADUATE
NAME OF COLLEGE OR
DEGREE OR
UNIVERSITY ATTENDED
LOCATION
INCLUSIVE DATES
DIPLOMA
MAJOR
St Lukes Hospital School fursing
manfueld mich
Sept 11, 1939- Sept23,1942 Diplana in hurring
a
ARE YOU CURRENTLY
YES
NO
REGISTERED IN (State)
ARE YOU CURRENTLY A MEMBER OF THE AMERICAN
YES
NO
S
REGISTERED?
Michigan
NURSES' ASSOCIATION?
PRESENT EMPLOYMENT If not employed, check
POSITION TITLE (H.N., P.D., inst., staff nurse, etc.)
SERVICE (Medicine, surgery, etc.)
Staffnnise
NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED
general staff- CITY operating room STATE
S
Twin city Hospital
Neganne, Michigan.
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 villing 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
marquitte Co. Chapter - Marquitte mich (338 w.Park St.)
1. Teach home
YES NO Attend an instructors' training program, 1f offered. (Funds are available for
YES
NO
nursing classes
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 communities
offered, in preparation for service
3. Teach nurse's
YES
NO
4. Accept membership on chapter com-
YES
NO
5. Assist with other chapter
YES
NO
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-
Blanning on giving up nursing shortly.
DATE
IGNATURE
augusT 20, 1945
June m Cartier, R.N.
YOUR VALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS IN
KEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE
COMMITTEE NAMED BELOW.
ATTENTION
Fill before sending questionnaire to nurse. C
in committee name and address
SECRETARY
MRS. EILEEN J JACOBSON, Sec'y.
NURSE RECRUITMENT
NURSE RECRUITING COMMITTEE
MARQUETTE COUNTY CHAPTER
10/26/45
COMMITTEE
78504M
AMERICAN RED CROSS
. FORM 1045 Rev. July 1945
338 West Park Street
Page data
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- Source index
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- Type
- photo
- Media ID
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- Size
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Document data
- ID
- 2661222
- Core
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- Type
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DTO data
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"ocrText": "RED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n110412\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nMrs.\nNAME (Last, first, middle)\nTELEPHONE NO.\nCartier. June Marjeanne\n285-W Neganance\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\nDushane, June Marjeanne\nAlbert J. Cartier\nPERMANENT ADDRESS (Street, city, zone, county, state)\nF\nPRESENT ADDRESS (Street, city, zone, county, state)\n213 Gold St. Negannee Michigan (manguetle county)\nSame as above\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\n(Parents) Frank. Jennie Dushane 308 Hunges food Ave, Negannes, Mich.\nParents\nDATE OF BIRTH (Month, day, year)\naugust 31st 1920\nSingle\nMarried\nSeparated\nW1 .dowed\nDivorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nEnglish and Finnish\nHIGH SCHOOL GRADUATE\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nSt Lukes Hospital School fursing\nmanfueld mich\nSept 11, 1939- Sept23,1942 Diplana in hurring\na\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nS\nREGISTERED?\nMichigan\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nStaffnnise\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\ngeneral staff- CITY operating room STATE\nS\nTwin city Hospital\nNeganne, Michigan.\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 villing 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\nmarquitte Co. Chapter - Marquitte mich (338 w.Park St.)\n1. Teach home\nYES NO Attend an instructors' training program, 1f offered. (Funds are available for\nYES\nNO\nnursing classes\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 communities\noffered, in preparation for service\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\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-\nBlanning on giving up nursing shortly.\nDATE\nIGNATURE\naugusT 20, 1945\nJune m Cartier, R.N.\nYOUR VALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS IN\nKEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill before sending questionnaire to nurse. C\nin committee name and address\nSECRETARY\nMRS. EILEEN J JACOBSON, Sec'y.\nNURSE RECRUITMENT\nNURSE RECRUITING COMMITTEE\nMARQUETTE COUNTY CHAPTER\n10/26/45\nCOMMITTEE\n78504M\nAMERICAN RED CROSS\n. FORM 1045 Rev. July 1945\n338 West Park Street"
}