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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

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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"
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