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is Revised May 20, 1918. Top Sheet Upper portion for Divisional Record. Also see last portion of application form. Southwestern Recommended by Division for enrollment under Requisition Nurse If not American citizen, so state, and give citizenship Is applicant available leaving home two weeks from date full papers are rec'd in Washington? Yes Name Miss Florence Brandt Street Address St. Louis Baptist Hospital City St. Louis, Mo. Temporary Address to what date June 1 1919 4461 Olive St.. St. Louis. Please check or fill out blanks where possible Languages Spoken Location of Proposed length of stay One year E-Excellent Service desired Full Volunteer No G-Good F-Fair Volunteer with expenses met by Red Cross no Is allowance for living abroad to be left to discretion of foreign Commission? yes English only Allowance for living abroad if not left to discretion of foreign Commission? sant Salary over expense allowance if anyNurse's Sal. Allowance for living prior to departure Yes Requisition for uniform and equipment Allowance for transportation overseas and return Yes Allowance for transportation in U. S. and return Yes Physical Report Age 26 Loyalty investigation conducted by (Name of Date examined Date Reported agency employed, if any) May 2/19 and Report Dr. Pernoud Approved List of Loyalty indorsements: Dr. C. C. Morris, St. Louis Baptist Hospital, St. Louis, Mo. Dr. J. C. Bram, St. Louis Baptist Hospital, St. Louis, Mo. Dr. B. Dorsey, Metropolitan Bldg., St. Louis, Mo. Have passport application and pictures been forwarded Date Headquarters Record (Initial, date, and "O.K. 11 where acceptable) File Record Classification Date Referred to Full papers Provisional Enrollment War Dept. Physical Actual Enrollment Remarks (Form S W Per 1602-918)

Page data

Page
73
Source index
0
Type
photo
Media ID
818da2f0b67dc49e
Size
unknown

Document data

ID
2661388
Core
doc
Type
document
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Document identity
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Document source metadata
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Document source extras
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Page context
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    "ocrText": "is\nRevised May 20, 1918.\nTop Sheet\nUpper portion for Divisional Record. Also see last portion of\napplication form.\nSouthwestern\nRecommended by\nDivision for enrollment under Requisition Nurse\nIf not American citizen, so state, and give citizenship\nIs applicant available leaving home two weeks from date full papers are rec'd\nin Washington? Yes\nName\nMiss Florence Brandt\nStreet Address St. Louis Baptist Hospital\nCity\nSt. Louis, Mo.\nTemporary Address to what date June 1 1919\n4461 Olive St.. St. Louis.\nPlease check or fill out blanks where possible\nLanguages Spoken\nLocation of\nProposed length of stay\nOne year\nE-Excellent\nService desired\nFull Volunteer\nNo\nG-Good F-Fair\nVolunteer with expenses met by Red Cross no\nIs allowance for living abroad to be left to\ndiscretion of foreign Commission? yes\nEnglish only\nAllowance for living abroad if not left to\ndiscretion of foreign Commission?\nsant\nSalary over expense allowance if anyNurse's Sal.\nAllowance for living prior to departure Yes\nRequisition for uniform and equipment\nAllowance for transportation overseas and\nreturn\nYes\nAllowance for transportation in U. S. and\nreturn\nYes\nPhysical Report\nAge\n26\nLoyalty investigation conducted by (Name of\nDate examined\nDate Reported\nagency employed, if any)\nMay 2/19\nand Report\nDr. Pernoud\nApproved\nList of Loyalty indorsements:\nDr. C. C. Morris, St. Louis Baptist Hospital, St. Louis, Mo.\nDr. J. C. Bram, St. Louis Baptist Hospital, St. Louis, Mo.\nDr. B. Dorsey, Metropolitan Bldg., St. Louis, Mo.\nHave passport application and pictures been forwarded\nDate\nHeadquarters Record (Initial, date, and \"O.K. 11 where acceptable)\nFile Record\nClassification\nDate\nReferred to\nFull papers\nProvisional Enrollment\nWar Dept.\nPhysical\nActual Enrollment\nRemarks\n(Form S W Per 1602-918)"
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