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D
FORM 1045
REV. 4-4-38
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D. c.
F
lora
a
Dear Red Cross Nurse
7
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you
therefore, please answer the following questions and return this form to me, in the
a
enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED
WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-
C
ognize the value of filing this information and will return the questionnaire promptly,
as we are extremely anxious to make a very complete report to National Headquarters.
IMPORTANT:
In order to render prompt service
Yours sincerely,
PLORENCE Mi. JOHNSON
Chairman or
in time of disaster, enrolled Red Cross
Secretary.
Nurses should report at once to the
MANHATTAN
Secretary of the Local Committee under
Local Committee.
which they are enrolled. Do not forget
the address of the Secretary.
Name in full
Flora Mardonald Dielesou
If married, give husband's Serifer
name
Permanent address 301 West 22 street new you hy
(STREET, ETC)
(CITY)
(COUNTY)
(STATE)
Probable address for the next year
same
(STREET, ETC.)
Telephone No. 2.5-898
new york (CITY)
ny
ny
(COUNTY
(STATE)
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Shela G. Daeloson addesasahove
Underline the type of work you are now doing:
Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -
Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no
Have you ever been?
Two Would you like to teach Red Cross classes? len deviced
Indicate present physical condition Good
Would you respond to an emergency call in event of epidemic, disaster, war, etc.' yes
Badge No. 14790
Current date much 4. 1939
NOTE. If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrolment will be removed from our active files.
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Document data
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"ocrText": "D\nFORM 1045\nREV. 4-4-38\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\nF\nlora\na\nDear Red Cross Nurse\n7\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\na\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nC\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nPLORENCE Mi. JOHNSON\nChairman or\nin time of disaster, enrolled Red Cross\nSecretary.\nNurses should report at once to the\nMANHATTAN\nSecretary of the Local Committee under\nLocal Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full\nFlora Mardonald Dielesou\nIf married, give husband's Serifer\nname\nPermanent address 301 West 22 street new you hy\n(STREET, ETC)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year\nsame\n(STREET, ETC.)\nTelephone No. 2.5-898\nnew york (CITY)\nny\nny\n(COUNTY\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nShela G. Daeloson addesasahove\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nTwo Would you like to teach Red Cross classes? len deviced\nIndicate present physical condition Good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.' yes\nBadge No. 14790\nCurrent date much 4. 1939\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}