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Gray, Sara M.

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+ FORM 1045 REV. 12-3-37 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. 10 QUESTIONNAIRES DESTROYED Dear Red Cross Nurse: The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross FLORENCE M. JOHNSON Chairman or Nurses should report at once to the Secretary. Secretary of the Local Committee under MANHATTAN which they are enrolled. Do not forget Local Committee. the address of the Secretary. Name in full Sara m Gray If married, give husband's name Permanent address 632858 (STREET, ETC.) u. (CITY) y. City (COUNTY) (STATE) Probable address for the next year 63 3. E stst (STREET, n.y. ETC.) City Telephone No. hry block 4. 3109 (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) (Sinter Mrs m. wainwright % hun Suedden 225. E 20231. city Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? no Indicate present physical condition face Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. Pin loot Current date march 18. 38 NOTE.--If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

Page data

Page
8
Source index
0
Type
photo
Media ID
e618ae68d84a96a5
Size
unknown

Document data

ID
2661552
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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    "naId": 2661552,
    "coverageEndDate": {
        "day": 27,
        "logicalDate": "1942-01-27",
        "month": 1,
        "year": 1942
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    "coverageStartDate": {
        "day": 4,
        "logicalDate": "1918-06-04",
        "month": 6,
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Page context 
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    "ocrText": "+\nFORM 1045\nREV. 12-3-37\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\n10 QUESTIONNAIRES DESTROYED\nDear Red Cross Nurse:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nFLORENCE M. JOHNSON\nChairman or\nNurses should report at once to the\nSecretary.\nSecretary of the Local Committee under\nMANHATTAN\nwhich they are enrolled. Do not forget\nLocal Committee.\nthe address of the Secretary.\nName in full Sara m Gray\nIf married, give husband's name\nPermanent address 632858\n(STREET, ETC.)\nu. (CITY) y. City (COUNTY)\n(STATE)\nProbable address for the next year\n63 3. E stst (STREET, n.y. ETC.) City\nTelephone No. hry block 4. 3109\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\n(Sinter Mrs m. wainwright % hun Suedden 225. E 20231. city\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nno\nIndicate present physical condition\nface\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nyes\nBadge No. Pin loot\nCurrent date march 18. 38\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}