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15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United
States or any of its allies, specifying,which.ally.in every case and the branch of service in which enrolled.
NONE
add ved aid not
3
16. (a) Are you a member of a religious sect or organization whose creed forbids you to participate in war in any
form? NO
If so, state its name
(b
M SA
.9
I
+
oln
NONE nevi PACE
(b) Give names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.
0
to which you have at any time belonged
ni svia ATOI I tauguA apnia to 11 (ii)
17. (a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American
P.
Red Cross, Y. M. C. A., K. of C., or other similar organizations? NO
(b) If so, state the name of any such organization bettireze doidy diw 10 mil lo
soivia2 lo
18. What, university or college attended? CHARITY HOSPITAL Year graduated 1908 bA
19. Can you speak French fluently? NO
(a) If not, to what degree, if any!
70 a
(b) Can you translate French easily? NO
(c) If not, to what degree, if any
20. What other foreign languages do you speak? NONE bm norlw ,drid ngistot to 11 (d)
1007 lo 11100 bris ovig mod II a
State extent of your knowledge of each
21. As references, give names and addresses of three American citizens not related to you 10 beirtem .olgni2 (D)
-
SISTER M. MARCELLINE CHARITY HOSPITAL CLEVELAND OHIO to lina (d)
MISS BLANCHE SWAINHART 21 ST CLAIR AVE. :LEVELAND OHIO (b)
IR.C.O.OGBLEBAY 66th & Hubhard
CLEVELAND OHLO
22. (a) Kind of service preferred
OVER
SEAS bnsdand 10 oliw to to bns sociquiria (b)
(b) What do you consider your qualifications particularly fitting you for this service?
HAVE BEEN DOING NOTHING FOR TWO YEARS BUT SURGICAL DRESSING
(s)
(c) Describe fully any experience you have ever had in the service of the Red Cross. NONE smen
(V)
lo bas ()
23. Would you enter foreign service? YES (a) In any country or countries where required?
FRANCE PREFERRED
24. (a) Would you serve without pay and defray all of your necessary personal expenses? NO
31
(il)
(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red
to omen nobiem
Cross:
to bns
Allowance for living abroad
Allowance for living prior to departure
Allowance or requisition for uniform and equipment .mod ngiotol nodtom 11 (3))
Allowance for transportation overseas to destination and return
Allowance for transportation in United States and return Ismoisq to bas amsa
(1)
(c) If Red Cross made adequate allowance for your expenses in the service, as per 24-b, what specific amount (mi)
bas nobrem 1101
would you require in addition?
a
25. If enrolled in service (a) name earliest date you could take up work
(b) Minimum term for which
to vilcrionen bris amen
you would serve
5
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
leqioning bris assalq , anissta .bad noy Signed METTA P. COTTRELL
bed 03 S 919W doidw 10 and lo
odeving a brea drow atedy, S
bnslevolo a. Ifa & antrios Jull noaqU
;issigaoH bsoil (bsoli esa)
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"ocrText": "15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United\nStates or any of its allies, specifying,which.ally.in every case and the branch of service in which enrolled.\nNONE\nadd ved aid not\n3\n16. (a) Are you a member of a religious sect or organization whose creed forbids you to participate in war in any\nform? NO\nIf so, state its name\n(b\nM SA\n.9\nI\n+\noln\nNONE nevi PACE\n(b) Give names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.\n0\nto which you have at any time belonged\nni svia ATOI I tauguA apnia to 11 (ii)\n17. (a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American\nP.\nRed Cross, Y. M. C. A., K. of C., or other similar organizations? NO\n(b) If so, state the name of any such organization bettireze doidy diw 10 mil lo\nsoivia2 lo\n18. What, university or college attended? CHARITY HOSPITAL Year graduated 1908 bA\n19. Can you speak French fluently? NO\n(a) If not, to what degree, if any!\n70 a\n(b) Can you translate French easily? NO\n(c) If not, to what degree, if any\n20. What other foreign languages do you speak? NONE bm norlw ,drid ngistot to 11 (d)\n1007 lo 11100 bris ovig mod II a\nState extent of your knowledge of each\n21. As references, give names and addresses of three American citizens not related to you 10 beirtem .olgni2 (D)\n-\nSISTER M. MARCELLINE CHARITY HOSPITAL CLEVELAND OHIO to lina (d)\nMISS BLANCHE SWAINHART 21 ST CLAIR AVE. :LEVELAND OHIO (b)\nIR.C.O.OGBLEBAY 66th & Hubhard\nCLEVELAND OHLO\n22. (a) Kind of service preferred\nOVER\nSEAS bnsdand 10 oliw to to bns sociquiria (b)\n(b) What do you consider your qualifications particularly fitting you for this service?\nHAVE BEEN DOING NOTHING FOR TWO YEARS BUT SURGICAL DRESSING\n(s)\n(c) Describe fully any experience you have ever had in the service of the Red Cross. NONE smen\n(V)\nlo bas ()\n23. Would you enter foreign service? YES (a) In any country or countries where required?\nFRANCE PREFERRED\n24. (a) Would you serve without pay and defray all of your necessary personal expenses? NO\n31\n(il)\n(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red\nto omen nobiem\nCross:\nto bns\nAllowance for living abroad\nAllowance for living prior to departure\nAllowance or requisition for uniform and equipment .mod ngiotol nodtom 11 (3))\nAllowance for transportation overseas to destination and return\nAllowance for transportation in United States and return Ismoisq to bas amsa\n(1)\n(c) If Red Cross made adequate allowance for your expenses in the service, as per 24-b, what specific amount (mi)\nbas nobrem 1101\nwould you require in addition?\na\n25. If enrolled in service (a) name earliest date you could take up work\n(b) Minimum term for which\nto vilcrionen bris amen\nyou would serve\n5\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nleqioning bris assalq , anissta .bad noy Signed METTA P. COTTRELL\nbed 03 S 919W doidw 10 and lo\nodeving a brea drow atedy, S\nbnslevolo a. Ifa & antrios Jull noaqU\n;issigaoH bsoil (bsoli esa)"
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