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Z E e to Form 1045 Rev. Nov. 1941 K AMERICAN RED CROSS NURSING SERVICE K Name in full Elder Katherius Macklin Tel. No. Catous 1197 ? + (last) (first) (middle) maiden " " Year of birth 1882 give name Marital warried status (single, married, widowed, divorced) Husband's name John David Elder Permanent address 200 montrose Ave. catonsville, Balte. manyland (street) (city) (county) (state) " Probable address " " " for the (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: go (name) Elder R/D (relationship) husband Ison (address) above address Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public health Industrial for ,92° Private duty not Other (write in) Government Service: Army, Regular Navy, Regular Veterans Administration Reserve Reserve Children's Bureau U.S.P.H. Service U.S. Indian Service MAJOR RESPONSIBILITIES Administration Teaching Private duty of present employment Supervision General Staff Other (specify) How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No SINCE GRADUATION FROM YOUR SCHOOL OF NURSING have you ever had- 1. A postgraduate course or experience in any of the following special services? Postgraduate course Experience in hospital in a hospital or public health field (at least 3 months) (at least 6 months) Communicable disease nursing (include Tbc) Psychiatric Nursing Operating room Anaesthesia Public health nursing 2. Have you taken any courses in a college or university? Less than One Two Three Four Bachelor's Master's P.H.D. Certificate in *one year year years years years degree degree degree Public Health C what major field was above study huglish Sociology Economics 5 In What languages, other than English, do you speak? some Jennan, French t Orabic J Academic year (OVER)

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    "ocrText": "Z\nE\ne\nto\nForm 1045\nRev. Nov. 1941\nK\nAMERICAN RED CROSS\nNURSING SERVICE\nK\nName in full Elder Katherius Macklin Tel. No. Catous 1197\n?\n+\n(last)\n(first)\n(middle)\nmaiden \"\n\"\nYear of birth\n1882\ngive name\nMarital warried\nstatus\n(single, married, widowed, divorced)\nHusband's name John David Elder\nPermanent address 200 montrose Ave.\ncatonsville, Balte. manyland\n(street)\n(city)\n(county)\n(state)\n\"\nProbable address\n\"\n\"\n\"\nfor the\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\ngo (name) Elder R/D (relationship) husband Ison (address) above\naddress\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nfor\n,92°\nPrivate duty\nnot\nOther (write in)\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nSINCE GRADUATION FROM YOUR SCHOOL OF NURSING\nhave you ever had-\n1. A postgraduate course or experience in any of the following special services?\nPostgraduate course\nExperience in hospital\nin a hospital\nor public health field\n(at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include Tbc)\nPsychiatric Nursing\nOperating room\nAnaesthesia\nPublic health nursing\n2. Have you taken any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nP.H.D.\nCertificate in\n*one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nC\nwhat major field was above study huglish Sociology Economics\n5\nIn\nWhat languages, other than English, do you speak? some Jennan, French t Orabic\nJ\nAcademic year\n(OVER)"
}