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FORM 1045-A
REV. 12-3-37
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
A. R. G. MAIL ROOM
RECEIVED
WASHINGTON. D. c.
APR 23 1938
APR 20 1938
Referred To
Dear Red Cross Nurse:
12. 4 QUESTIONNAIRES " DESTROYED " ,45
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are
extremely anxious to make a very complete report and ask for your cooperation. Will
you kindly answer the following questions and return this form to me, in the enclosed
envelope, at the earliest possible date?
Yours sincerely,
IMPORTANT:
In order to render prompt service
in time of disaster, enrolled Red Cross
Ida 7. Butter
Nurses should report at once to the
Secretary of the Local Committee under
National Director,
which they are enrolled. Do not forget
Red Cross Nursing Service
the address of the Secretary.
Name in full Franiette Mildren Dang las
If married, give husband's name
Permanent address yo hus. Guy a. Barber. 4. Ridge event. Gask,
(STREET, ETC.)
(CITY) 1939men icen (COUNTY)
(STATE)
Probable address for the next year
Same
Telephone No. Se. 1323
(STREET, ETC.)
Searodale my
(CITY)
(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)
Underline Alfred the Hundring type bay you Austrigi doing: my (helphy
of work are now
Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -
Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar
Are instructor of Red Cross he
Have you ever been? was hatianal December I same Hygume I Care
you an classes in Home Hygiene and Care of the Sick?
Indicate present physical condition Good
Sich I
Badge No Carmet remember
Would respond to epidemic, disaster, war, etc. Probably
you an emergency call in event of ?
Current
date april 22 nd 1938 1938
NOTE.- 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.
Page data
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Document data
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Context sent to Scholar
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"ocrText": "FORM 1045-A\nREV. 12-3-37\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nA. R. G. MAIL ROOM\nRECEIVED\nWASHINGTON. D. c.\nAPR 23 1938\nAPR 20 1938\nReferred To\nDear Red Cross Nurse:\n12. 4 QUESTIONNAIRES \" DESTROYED \" ,45\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYours sincerely,\nIMPORTANT:\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nIda 7. Butter\nNurses should report at once to the\nSecretary of the Local Committee under\nNational Director,\nwhich they are enrolled. Do not forget\nRed Cross Nursing Service\nthe address of the Secretary.\nName in full Franiette Mildren Dang las\nIf married, give husband's name\nPermanent address yo hus. Guy a. Barber. 4. Ridge event. Gask,\n(STREET, ETC.)\n(CITY) 1939men icen (COUNTY)\n(STATE)\nProbable address for the next year\nSame\nTelephone No. Se. 1323\n(STREET, ETC.)\nSearodale my\n(CITY)\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)\nUnderline Alfred the Hundring type bay you Austrigi doing: my (helphy\nof work are now\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre instructor of Red Cross he\nHave you ever been? was hatianal December I same Hygume I Care\nyou an classes in Home Hygiene and Care of the Sick?\nIndicate present physical condition Good\nSich I\nBadge No Carmet remember\nWould respond to epidemic, disaster, war, etc. Probably\nyou an emergency call in event of ?\nCurrent\ndate april 22 nd 1938 1938\nNOTE.- 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."
}