Ask the Scholar
Page 13 of 77
I can add historical knowledge about this page.
Page image
OCR
I
House
T
T
e
RED CROSS BADGE NUMBER
AMERICAN RED CROSS
4
NURSING SERVICES
MILITARY SERIAL NUMBER
ANNUAL QUESTIONNAIRE - 1945
CHECK IF YOUR LAST NAME HAS CHANGED
NAME (Last, first, middle)
MAIDEN NAME Harrell Jean
TELEPHONE NO. De 2738
IF MARRIED, GIVE
HUSBAND'S NAME
PERMANENT Dalley ADDRESS (Street, Brook city, Road county, state) Route 3 Decatur, Dekalb Co, Gengili
zone,
PRESENT ADDRESS (Street, city, zone, county, state)
NAME mrs. AND ADDRESS J. /NEAREST Hurley OR FRIEND Griffin IN THE UNITED STATES Marshville RELATIONSHIP nc. sistor
OF RELATIVE
DATE OF BIRTH (Month, day, year)
march 20 1879
Single
J
Married
Separated
Widowed
ivorced
WHAT LANGUAGES DO YOU SPEAK?
YES
NO
English
HIGH SCHOOL GRADUATE
v.
NAME OF COLLEGE OR
DEGREE OR
UNIVERSITY ATTENDED
LOCATION
INCLUSIVE DATES
DIPLOMA
MAJOR
c
attended marshville High school 2 years
manshville N.C.
ARE YOU CURRENTLY
YES
NO
REGISTERED IN (State)
ARE YOU CURRENTLY A MEMBER OF THE AMERICAN
YES
NO
REGISTERED?
L
yes mc. q Ga
NURSES' ASSOCIATION?
v
PRÉSENT EMPLOYMENT If not employed, check
POSITION TITLE (H.N., P.D., inst., staff nurse, etc.)
SERVICE (Medicine, surgery, etc.)
Industrial nurse
Clinic
NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED
Scotedale
CITY
STATE
A Cottdale mills
ya
HEALTH
Good
IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY
VOLUNTEER SERVICE
The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call
to participate in a Red Cross chapter program. Please check the "Yes" box only if you are wi liing and able to
serve if called on within the next 12 zonths.
NAME ADDRESS
AND OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS allanter Chopter
allanta Keagra
1. Teach home
YES
NO
Attend an instructors' training program, 1f offered. (Funds are available for
YES
NO
nursing classes
training home nursing instructors. See local chapter.)
2. Serve in case
YES
NO
only in home community
Attend disaster institutes, if
YES
NO
of disaster
In other communities
offered, in preparation for service
3.
Teach nurse/s
YES
NO
4. Accept membership on chapter cóm-
YES
NO
5. Assist with other chapter
YES
NO
aide classes
mittee should services be needed
programs, as needed
If you have not answered "Yes" to any of the questions listed under VOLUNTEER- SERVICE, do you anticipate that
YES
NO-
you will be able to serve at some time in the future?
IF UNABLE TO SERVE, GIVE MAJOR REASONS.
DATE I have a full time Industrial an S IGNATURE slinie got & home demands duties which my
all
Sept 6 1945
8
YOUR
VALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TQ SERVE AND
YOUR FAITHFULNESS IN
KEEPING US INFORMED OF YOUR ADDRESS: PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE
COMMITTEE NAMED BELON.
ATTENTION
Fill in committee name and address before sending questionnaire to nurse.
SECRETARY
NURSE RECRUITMENT
COMMITTEE
ATLANTA CHAPTER AMERICAN RED CROSS
78504M
FORM 1045 Rev. July 1945
Page data
- Page
- 13
- Source index
- 0
- Type
- photo
- Media ID
- 16b84c540db7ef87
- Size
- unknown
Document data
- ID
- 2661590
- Core
- doc
- Type
- document
DTO data
{
"id": "2661590",
"sourceUrl": "https://catalog.archives.gov/id/2661590",
"contentType": "document",
"title": "Harrell, Jean",
"citationUrl": "https://catalog.archives.gov/id/2661590",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0552/40033_2421402106_0552-01227.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0552/40033_2421402106_0552-01227.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0552/40033_2421402106_0552-01227.jpg",
"imageCount": 77,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "2661590",
"label": "Harrell, Jean",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/2661590"
}
Document source metadata
{
"id": "2661590",
"sourceUrl": "https://catalog.archives.gov/id/2661590",
"contentType": "document",
"title": "Harrell, Jean",
"citationUrl": "https://catalog.archives.gov/id/2661590",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0552/40033_2421402106_0552-01227.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0552/40033_2421402106_0552-01227.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0552/40033_2421402106_0552-01227.jpg",
"imageCount": 77,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/2661590",
"naId": 2661590,
"coverageEndDate": {
"day": 6,
"logicalDate": "1945-09-06",
"month": 9,
"year": 1945
},
"coverageStartDate": {
"day": 17,
"logicalDate": "1915-05-17",
"month": 5,
"year": 1915
},
"levelOfDescription": "fileUnit",
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 13,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_2421402106_0552/40033_2421402106_0552-01239.jpg",
"mediaId": "16b84c540db7ef87",
"ocrText": "I\nHouse\nT\nT\ne\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n4\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first, middle)\nMAIDEN NAME Harrell Jean\nTELEPHONE NO. De 2738\nIF MARRIED, GIVE\nHUSBAND'S NAME\nPERMANENT Dalley ADDRESS (Street, Brook city, Road county, state) Route 3 Decatur, Dekalb Co, Gengili\nzone,\nPRESENT ADDRESS (Street, city, zone, county, state)\nNAME mrs. AND ADDRESS J. /NEAREST Hurley OR FRIEND Griffin IN THE UNITED STATES Marshville RELATIONSHIP nc. sistor\nOF RELATIVE\nDATE OF BIRTH (Month, day, year)\nmarch 20 1879\nSingle\nJ\nMarried\nSeparated\nWidowed\nivorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nEnglish\nHIGH SCHOOL GRADUATE\nv.\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nc\nattended marshville High school 2 years\nmanshville N.C.\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nL\nyes mc. q Ga\nNURSES' ASSOCIATION?\nv\nPRÉSENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nIndustrial nurse\nClinic\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nScotedale\nCITY\nSTATE\nA Cottdale mills\nya\nHEALTH\nGood\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are wi liing and able to\nserve if called on within the next 12 zonths.\nNAME ADDRESS\nAND OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS allanter Chopter\nallanta Keagra\n1. Teach home\nYES\nNO\nAttend an instructors' training program, 1f offered. (Funds are available for\nYES\nNO\nnursing classes\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof disaster\nIn other communities\noffered, in preparation for service\n3.\nTeach nurse/s\nYES\nNO\n4. Accept membership on chapter cóm-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER- SERVICE, do you anticipate that\nYES\nNO-\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS.\nDATE I have a full time Industrial an S IGNATURE slinie got & home demands duties which my\nall\nSept 6 1945\n8\nYOUR\nVALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TQ SERVE AND\nYOUR FAITHFULNESS IN\nKEEPING US INFORMED OF YOUR ADDRESS: PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE\nCOMMITTEE NAMED BELON.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\nNURSE RECRUITMENT\nCOMMITTEE\nATLANTA CHAPTER AMERICAN RED CROSS\n78504M\nFORM 1045 Rev. July 1945"
}