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D
",
PHYSICAL CONDITION
MADIRIMA
Have you been rejected for military service by:
The Army Nurse Corps? Yes
No
The Navy Nurse Corps? Yes
No
When ?
Why? LLO JAUNNA
F
Do you believe that you could now meet physical requirements for military service? Yes
No
What is your present physical condition? Good
If any disabilities, please specify Calmall (one eye graditure
successfully)
If you have had additional study since filing your 1943 Red Cross questionnaire give the type of course
and the length of time included:
If you did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions
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?
Did you have a five-year nursing course granting a bachelor's degree?
Yes
No
AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have:
1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in
a
hospital) in any of the following services?
Course
Number of months
Experience
Number of months
Communicable disease nursing
(includes tuberculosis)
Jon
11
Psychiatric nursing
Operating room
Anaesthesia
2. Any courses in a college or university ? (Check in box.)
One
Two
Three
Four
Bachelor's
Master's
Ph.D.
M.D.
Less than one
academic year
year
years
years
years
degree
degree
degree
degree
In what major field was the above study ?
3. Experience or training in the public health field? Experience, 6 months or more
Postgraduate course, 4 months or more
Certificate
Degree
Floru m. Dielessor
December 11 of 43.
(date this form is filled in)
MINAILA
(signature)
YOUR VALUE CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU NAMED BELOW.
AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE FOR FILLING YOU.
IN THE THIS WORLD QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE
NURSE RECRUITMENT COMMITTEE
To be filled in by the committee before the questionnaire is sent to the nurse.
NEW YORK CHAPTER
NEW YORK, N. Y.
(Name of the committee to whom this questionnaire is to be returned)
(state)
(street)
(city)
Page data
- Page
- 8
- Source index
- 0
- Type
- photo
- Media ID
- 80eb0f76814f4609
- Size
- unknown
Document data
- ID
- 2661361
- Core
- doc
- Type
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DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "D\n\",\nPHYSICAL CONDITION\nMADIRIMA\nHave you been rejected for military service by:\nThe Army Nurse Corps? Yes\nNo\nThe Navy Nurse Corps? Yes\nNo\nWhen ?\nWhy? LLO JAUNNA\nF\nDo you believe that you could now meet physical requirements for military service? Yes\nNo\nWhat is your present physical condition? Good\nIf any disabilities, please specify Calmall (one eye graditure\nsuccessfully)\nIf you have had additional study since filing your 1943 Red Cross questionnaire give the type of course\nand the length of time included:\nIf you did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions\nHow many years did you attend high school One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBEFORE entering training, how many years did you attend college?\nDid you have a five-year nursing course granting a bachelor's degree?\nYes\nNo\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have:\n1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in\na\nhospital) in any of the following services?\nCourse\nNumber of months\nExperience\nNumber of months\nCommunicable disease nursing\n(includes tuberculosis)\nJon\n11\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Any courses in a college or university ? (Check in box.)\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.D.\nLess than one\nacademic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was the above study ?\n3. Experience or training in the public health field? Experience, 6 months or more\nPostgraduate course, 4 months or more\nCertificate\nDegree\nFloru m. Dielessor\nDecember 11 of 43.\n(date this form is filled in)\nMINAILA\n(signature)\nYOUR VALUE CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU NAMED BELOW.\nAS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE FOR FILLING YOU.\nIN THE THIS WORLD QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE\nNURSE RECRUITMENT COMMITTEE\nTo be filled in by the committee before the questionnaire is sent to the nurse.\nNEW YORK CHAPTER\nNEW YORK, N. Y.\n(Name of the committee to whom this questionnaire is to be returned)\n(state)\n(street)\n(city)"
}