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IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND CHECK THE APPROPRIATE BOX AVAILABILITY FOR SERVICE WITH THE ARMED FORCES Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be- the Physically fit, single, and under 40. arbiam ovin beman For assignment to the Army Nurse Corps, a Red Cross nurse must be- Physically fit, single OR married, and under 40. If qualified for supervision, anaesthesia, operating room work, or interested in overseas assignment, the age limit is the 45th D birthday. If eligible and not already in service, are you Immediately available Available in the near future e (specify date) 1 Not available for the following reasons Position on Health (specify) Deph staff in Defenie thea. 5 If married, do you have minor dependents? - (specify) drised If the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be - Immediately available Available in the near future (specify date) 00181 Not available for the following reasons (specify) AVAILABILITY FOR SERVICE WITH CIVILIANS If not already doing so, will you Teach Red Cross Home Nursing classes, if qualified? Samitashing closses as place d bigarizing Home Muring Teach Volunteer Nurse's Aides, if qualified? Serve with an overseas unit caring for civilian casualties? - Be available for emergency Red Cross assignments? PHYSICAL CONDITION Have you been rejected for military service? Yes No Why? - Do you believe that you could now meet revised physical requirements for military service? Yes No State present physical condition Good If any disabilities, please specify myojia corrected c glassed Red Cross Badge No. 59029 December 22-1942 (date this form is filled in) Name of committee ark State and Local Com of (to be filled in by committee before questionnaire is sent to the nurse) YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL 0 EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE AND RETURNING IT TO US. 2

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0
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Document identity
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Page context
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    "ocrText": "IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nCHECK THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be-\nthe\nPhysically fit, single, and under 40.\narbiam ovin beman\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be-\nPhysically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,\noperating room work, or interested in overseas assignment, the age limit is the 45th\nD\nbirthday.\nIf eligible and not already in service, are you\nImmediately available\nAvailable in the near future\ne\n(specify date)\n1\nNot available for the following reasons Position on Health (specify) Deph staff in Defenie thea.\n5\nIf married, do you have minor dependents?\n-\n(specify)\ndrised\nIf the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be\n-\nImmediately available\nAvailable in the near future\n(specify date)\n00181\nNot available for the following reasons\n(specify)\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf not already doing so, will you\nTeach\nRed\nCross Home Nursing classes, if qualified? Samitashing closses as place d bigarizing Home Muring\nTeach Volunteer Nurse's Aides, if qualified?\nServe with an overseas unit caring for civilian casualties? -\nBe available for emergency Red Cross assignments?\nPHYSICAL CONDITION\nHave you been rejected for military service?\nYes\nNo\nWhy? -\nDo you believe that you could now meet revised physical requirements for military service?\nYes\nNo\nState present physical condition\nGood\nIf any disabilities, please specify myojia corrected c glassed\nRed Cross Badge No. 59029\nDecember 22-1942\n(date this form is filled in)\nName of committee ark State and Local Com\nof\n(to be filled in by committee before questionnaire is sent to the nurse)\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL\n0\nEMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE\nAND RETURNING IT TO US.\n2"
}