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    "label": "Davis, Mary Thorton",
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    "title": "Davis, Mary Thorton",
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    "coverageEndDate": {
        "day": 17,
        "logicalDate": "1945-08-17",
        "month": 8,
        "year": 1945
    },
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        "day": 22,
        "logicalDate": "1918-07-22",
        "month": 7,
        "year": 1918
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    "ocrText": "is\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n26028\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nTELEDPHONE NO.\nNAME (Last, first, middle)\nDavis, Mary Thornton\nmaiblahead 1035\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\nPERMANENT ADDRESS (Street, city, zone, county, state)\n22 her St. maiblehead, Ernx Co. mass.\nPRESENT ADDRESS (Street, city, zone, county, state)\nsame\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nJohn Dairs The Locusts, So.Hamilton; mans.\nBrother\nDATE OF BIRTH (Month, day, year)\nSingle\nMarried\nSeparated\nJidowed\nD1 vorced\nAuq. 16, 1890\nYES\nNO\nWHAT LANGUAGES DO YOU SPEAK? no practice in 20-30 years\nDid have s one French of German little Italian\nHIGH SCHOOL GRADUATE\nequical\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nSr. Agues School Celbany n.y\n1907-09\nnone-\nnone\nTrachers College, Columbia Uniov n.y. e. may1917 none P.H.N.\nSept.1916\n(This was The first year 2 yr. course- not the Henrystr. affiliation)\nYES\nNO\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nARE YOU CURRENTLY\nREGISTERED IN (State)\nmny.4 mars.)\nNURSES' ASSOCIATION?\nREGISTERED?\nPRESENT EMPLOYMENT If not employed, check M\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\n-\nCITY\nSTATE\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nFanly gont\nasthma (slight) & Embryo bunion\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 ore willing 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\nSalem Chapter 10 Rust sv. , salem man\nNO Attend an instructors' training program, 11 offered. (Funds are available for\nYES\nNO\n1. Teach home\nYES\nL\nnursing classes\ntraining home nursing instructors. See local chapter.)\nAttend disaster institutes, 1f\nYES\nNO\n2. Serve in case\nYES\nNO\nonly in home community\noffered, in preparation for service\nL\nof disaster\nIn other communities\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\n3. Teach nurse's\nYES\nNO\ne\naide classes\nmittee should services be needed\nL\nprograms, as needed\nhave not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\na\nyou If you will be able to serve at some time in the future? not while mother needs me\nIF\nResigned UNABLE TO SERVE, position GIVE MAJOR as REASONS. EXEC.Director V.N.A. to keep house for additionation mother\nS IGNATURE\nDATE\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS IN\naugust 17,1945\nAlavy Thorators Daers\n6\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE PILL IN THIS QUESTIONWAIRE AND RETURN If PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\nC\n0\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\n10/19/15\n/J\nAMERICAN RED CROSS\nSALEM CHAPTER\nNURSE RECRUITMENT\n8\nCOMMITTEE\n10 Rust Street\n78504M\nSalem, Mass.\nFORM 1045 Rev. July 1945"
}