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F
N
C
Form 1045
Rev. Nov. 1941
Ju
AMERICAN RED CROSS
<
a
NURSING SERVICE
Name in full Fowle (last) Juliana (first) T. (middle) Kuqua
Tel.
No. wds 1169
If married, give maiden name Juliana Thompson Year of birth 12/16/1892
Marital status.
widowed
Husband's name Frederick E. Foule
(single, married, widowed, divorced)
Permanent
address 2919 (street) Que n.W. (city) vashington (county) (state) D.C
Probable
for the next
address year 1388natiRd (street) (city) wheeling (county) West (state) Va
Give name and address of nearest relative or friend in United States:
mrsi a. Harper (sister) Redhake falls minn.
(name)
(relationship)
(address)
Are you employed in nursing at the present time? Yes
No
, Management
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
S,
(^
F
Institutional
Public health
am Red Cross - Sup. of nurses
E
Industrial
C
Private duty
Other (write in)
JC-1
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
yes-
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
In what major field was above study? Public Health nursing
What languages, other than English, you speak?
do Icelandic
Academic year
(OVER)
Page data
- Page
- 19
- Source index
- 0
- Type
- photo
- Media ID
- ed20c83267252969
- Size
- unknown
Document data
- ID
- 2661486
- Core
- doc
- Type
- document
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": "F\nN\nC\nForm 1045\nRev. Nov. 1941\nJu\nAMERICAN RED CROSS\n<\na\nNURSING SERVICE\nName in full Fowle (last) Juliana (first) T. (middle) Kuqua\nTel.\nNo. wds 1169\nIf married, give maiden name Juliana Thompson Year of birth 12/16/1892\nMarital status.\nwidowed\nHusband's name Frederick E. Foule\n(single, married, widowed, divorced)\nPermanent\naddress 2919 (street) Que n.W. (city) vashington (county) (state) D.C\nProbable\nfor the next\naddress year 1388natiRd (street) (city) wheeling (county) West (state) Va\nGive name and address of nearest relative or friend in United States:\nmrsi a. Harper (sister) Redhake falls minn.\n(name)\n(relationship)\n(address)\nAre you employed in nursing at the present time? Yes\nNo\n, Management\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nS,\n(^\nF\nInstitutional\nPublic health\nam Red Cross - Sup. of nurses\nE\nIndustrial\nC\nPrivate duty\nOther (write in)\nJC-1\nGovernment Service:\nArmy, 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\nyes-\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\none year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nIn what major field was above study? Public Health nursing\nWhat languages, other than English, you speak?\ndo Icelandic\nAcademic year\n(OVER)"
}