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Form 1045
AMERICAN RED CROSS
DC
Rev. Nov. 1942
NURSING SERVICE
If you have changed your last name since
contacting us, please check here
Name in full
Coe,
IdA
(last)
(first)
Doyle
(middle)
Tel. No. ORdwAy 1825
If married, give maiden name
IdA
Doyle
Date of birth Apr11,1899
Marital status
maRRied
Husband's name Lt. FRAnTz E. Coe, U.S.N.
(single, married, widowed, divorced)
Permanent address
41 st St. N.W., Washington
D. C. (Apt.303)
(street)
(city)
(county)
(state)
Probable address
for the next year
same
(street)
(city)
(county)
(state)
Give name and address of nearest relative or friend in United States:
S
Lt. FRAnTz E.Coe,U.SN,
husband
same as above
(name)
(relationship)
(address)
Are you employed in nursing at the present time?
Yes
No
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
D
Public health
0
Industrial
Private duty
Other (write in)
WelfaRe nurse nat'l Hdgs. Am. Red CROSS.
Government Service:
Army, Regular
Navy, Regular
Veterans Administration
Reserve
Reserve
Children's Bureau
U.S.P.H. Service
U.S. Indian Service
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
of present employment
Supervision
General staff
Other (specify) Welfare of Employees
If not employed, what type of nursing would you prefer to render?
How many years did you attend HIGH SCHOOL?
One
Two
Three
Four
Graduated
Yes
No
4 mos
Before entering training, how many years did you attend COLLEGE? grad normal
Did you have a five-year course granting bachelor's degree? no
AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-
Postgraduate course
I
in a hospital
Experience in hospital
1. A postgraduate course or experience in any of the following services? (at least 3 months)
(at least 6 months)
I
Communicable disease nursing (include tuberculosis)
Psychiatric nursing
Operating room
u.ogmich.8. - 3 yrs . SeRvice Health
Anaesthesia
10
2. Have you had any courses in a college or university?
Less than
One
Two
Three
Four
Bachelor's
Master's
Ph.D.
M. D.
one academic year
year
years
years
years
degree
degree
degree
degree
U
In what major field was above study? Teaching
3
3. Training and experience in the public health field: Postgraduate 4 months or more
Certificate
Degree
Experience 6 months
Have you ever held a position as an air hostess?
Yes
No
How long?
Have you ever had any other air experience?
Yes
No
Specify
(OVER)
Page data
- Page
- 16
- Source index
- 0
- Type
- photo
- Media ID
- e2c22e6de6308cf1
- Size
- unknown
Document data
- ID
- 2661256
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "and\nForm 1045\nAMERICAN RED CROSS\nDC\nRev. Nov. 1942\nNURSING SERVICE\nIf you have changed your last name since\ncontacting us, please check here\nName in full\nCoe,\nIdA\n(last)\n(first)\nDoyle\n(middle)\nTel. No. ORdwAy 1825\nIf married, give maiden name\nIdA\nDoyle\nDate of birth Apr11,1899\nMarital status\nmaRRied\nHusband's name Lt. FRAnTz E. Coe, U.S.N.\n(single, married, widowed, divorced)\nPermanent address\n41 st St. N.W., Washington\nD. C. (Apt.303)\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\nsame\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nS\nLt. FRAnTz E.Coe,U.SN,\nhusband\nsame as above\n(name)\n(relationship)\n(address)\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nD\nPublic health\n0\nIndustrial\nPrivate duty\nOther (write in)\nWelfaRe nurse nat'l Hdgs. Am. Red CROSS.\nGovernment Service:\nArmy, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral staff\nOther (specify) Welfare of Employees\nIf not employed, what type of nursing would you prefer to render?\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\n4 mos\nBefore entering training, how many years did you attend COLLEGE? grad normal\nDid you have a five-year course granting bachelor's degree? no\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nI\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nI\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nu.ogmich.8. - 3 yrs . SeRvice Health\nAnaesthesia\n10\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\none academic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nU\nIn what major field was above study? Teaching\n3\n3. Training and experience in the public health field: Postgraduate 4 months or more\nCertificate\nDegree\nExperience 6 months\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)"
}