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ITT
M.
(p) Names of all relatives nearer than second cousins in the war service of the United States Government.
denloin D. Bet. D. 02 F. A. Brother.
<.5
R.
ac
I
5. If foreign born, give date and court of your naturalization
5
6. Single, married, widow, or widower
Single
Nono
e
(a) Number of dependents
(b) Full name and address of nearest relative or friend
Mea. Corn Rnce. Phelpe, Mother
(c) Full name of wife before marriage; or husband
(d) Birthplace of wife or husband
(e) Nationality of wife or husband
(f) Birthplace and nationality of father of wife or husband
(g) Birthplace and nationality of mother of wife or husband
7. Kind of service preferred. (Specify.)
When most needed
Any or
8. Would you enter foreign service?
Yea. (a) If) so, in what country or countries?
Italy preferrod
(b) Describe fully any experience you have ever had in service of the American Red Cross.
None
No
9. Would you serve without pay and defray all of your necessary expenses?
No
(a) With only expenses defrayed for you?
(b) If not, what minimum salary would you require in addition to the defraying of your expenses?
Real Oxona Selery
None
IO. What University or College attended?
Year graduated
II. Can you speak French fluently?
No
(a) If not, to what degree, if any?
(b) Can you translate French easily?
No
(c) If not, to what degree, if any?
I2. What other foreign languages do you speak?
Nono
(a) State extent of your knowledge of each
& very little Italian.
13. As references, give names and addresses of three American citizens not related to you.
Mrs. Mary O'Neil, 721 no. 18th to, Patersori,
N.J.
Dr. K.R. Morcis, 155 Ellison Ste, Paterson,
De. Davia S. 452 Van Houten Ste. Peterson, N.J.
14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations
based on race, nationality, etc., to which you belong or have at any time belonged, since August I, 1914.
None
15. If enrolled in service, name earliest date you could take up work
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
Ethel V. Rece.
Signature.
Division Personnel Committee examining application
Date of report
Report of Committee. (Be specific.)
Date of receipt at National Headquarters
Checked by
Comments:
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Document data
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"ocrText": "ITT\nM.\n(p) Names of all relatives nearer than second cousins in the war service of the United States Government.\ndenloin D. Bet. D. 02 F. A. Brother.\n<.5\nR.\nac\nI\n5. If foreign born, give date and court of your naturalization\n5\n6. Single, married, widow, or widower\nSingle\nNono\ne\n(a) Number of dependents\n(b) Full name and address of nearest relative or friend\nMea. Corn Rnce. Phelpe, Mother\n(c) Full name of wife before marriage; or husband\n(d) Birthplace of wife or husband\n(e) Nationality of wife or husband\n(f) Birthplace and nationality of father of wife or husband\n(g) Birthplace and nationality of mother of wife or husband\n7. Kind of service preferred. (Specify.)\nWhen most needed\nAny or\n8. Would you enter foreign service?\nYea. (a) If) so, in what country or countries?\nItaly preferrod\n(b) Describe fully any experience you have ever had in service of the American Red Cross.\nNone\nNo\n9. Would you serve without pay and defray all of your necessary expenses?\nNo\n(a) With only expenses defrayed for you?\n(b) If not, what minimum salary would you require in addition to the defraying of your expenses?\nReal Oxona Selery\nNone\nIO. What University or College attended?\nYear graduated\nII. Can you speak French fluently?\nNo\n(a) If not, to what degree, if any?\n(b) Can you translate French easily?\nNo\n(c) If not, to what degree, if any?\nI2. What other foreign languages do you speak?\nNono\n(a) State extent of your knowledge of each\n& very little Italian.\n13. As references, give names and addresses of three American citizens not related to you.\nMrs. Mary O'Neil, 721 no. 18th to, Patersori,\nN.J.\nDr. K.R. Morcis, 155 Ellison Ste, Paterson,\nDe. Davia S. 452 Van Houten Ste. Peterson, N.J.\n14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations\nbased on race, nationality, etc., to which you belong or have at any time belonged, since August I, 1914.\nNone\n15. If enrolled in service, name earliest date you could take up work\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nEthel V. Rece.\nSignature.\nDivision Personnel Committee examining application\nDate of report\nReport of Committee. (Be specific.)\nDate of receipt at National Headquarters\nChecked by\nComments:"
}