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war Form 1045
Rev. Nov. 1942
AMERICAN RED CROSS
NURSING SERVICE
If you have changed your last name since
contacting us, please check here
Name in full Daum
Ruth
G.
Tel. No I246 Blue
(last)
(first)
(middle)
If married, give maiden name
Fonest Ruth
Guthrie
Date of birth 3I0-3-97
in
Marital status
Married
Husband's name John Reymond Daum
(single, married, widowed, divorced)
Permanent address
R.D.#I
Crestline
Crawford
Ohio.
(street)
(city)
(county)
(state)
Probable address
for the next year
419 Taylor
Ashland
Ashland
Ohio
(street)
(city)
(county)
(state)
Give name and address of nearest relative or friend in United States:
I.R., Daum
thishand
Crestline, Ohio. R.R.#I
(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
Public health
Ashland County., Ohio, Poard of Health.
Industrial
Private duty
Other (write in)
F
Government Service: Army, Regular
Navy, Regular
Veterans Administration
0
Reserve
Reserve
Children's Bureau
T
U.S. Indian Service
e
U.S.P.H. Service
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
s
of present employment
Supervision
General staff
Other (specify)
T
If not employed, what type of nursing would you prefer to render?
Overseas
How many years did you attend HIGH SCHOOL?
One
Two
Three
Four
Graduated
Yes
No
Before entering training, how many years did you attend COLLEGE?
None
Did you have a five-year course granting bachelor's degree?
No
AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-
Postgraduate course
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) Yes
Communicable disease nursing (include tuberculosis)
Psychiatric nursing.
Operating room
Anaesthesia
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
In what major field was above study? Sociology, Pay.cology., Public Health.
3. Training and experience in the public health field: Postgraduate 4 months or more
J
Certificate
Degree
Experience 6 months
[wenty one years.
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
- 26
- Source index
- 0
- Type
- photo
- Media ID
- 969465208c43d942
- Size
- unknown
Document data
- ID
- 2661311
- Core
- doc
- Type
- document
DTO data
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"ocrText": "I\nwar Form 1045\nRev. Nov. 1942\nAMERICAN RED CROSS\nNURSING SERVICE\nIf you have changed your last name since\ncontacting us, please check here\nName in full Daum\nRuth\nG.\nTel. No I246 Blue\n(last)\n(first)\n(middle)\nIf married, give maiden name\nFonest Ruth\nGuthrie\nDate of birth 3I0-3-97\nin\nMarital status\nMarried\nHusband's name John Reymond Daum\n(single, married, widowed, divorced)\nPermanent address\nR.D.#I\nCrestline\nCrawford\nOhio.\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\n419 Taylor\nAshland\nAshland\nOhio\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nI.R., Daum\nthishand\nCrestline, Ohio. R.R.#I\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\nPublic health\nAshland County., Ohio, Poard of Health.\nIndustrial\nPrivate duty\nOther (write in)\nF\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\n0\nReserve\nReserve\nChildren's Bureau\nT\nU.S. Indian Service\ne\nU.S.P.H. Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\ns\nof present employment\nSupervision\nGeneral staff\nOther (specify)\nT\nIf not employed, what type of nursing would you prefer to render?\nOverseas\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE?\nNone\nDid you have a five-year course granting bachelor's degree?\nNo\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\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) Yes\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing.\nOperating room\nAnaesthesia\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\nIn what major field was above study? Sociology, Pay.cology., Public Health.\n3. Training and experience in the public health field: Postgraduate 4 months or more\nJ\nCertificate\nDegree\nExperience 6 months\n[wenty one years.\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)"
}