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in
#62277
EORM-1045-A
M
ARC
1938
AMERICAN RED CROSS
RECEIN
a
NATIONAL HEADQUARTERS
WASHINGTON, D.C.
MAY.291939
May 19, 1939
Referred
nursing
D
-
e
Dear Red Cross Nurse:
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are
extremely anxious to make a very complete report and ask for your cooperation. Will
you kindly answer the following questions and return this form to me, in the enclosed
envelope, at the earliest possible date?
Yours sincerely,
IMPORTANT:
In order to render prompt service
in time of disaster, enrolled Red Cross
Nurses should report at once to the
Mary Beard
Secretary of the Local Committee under
which they are enrolled. Do not forget
Director, Nursing Service
the address of the Secretary.
Name in full
Mary Alice Harris
If married, give husband's name
Permanent address
Clayton, Alabama - box 156
Barbour
Alar
(STREET, ETC.)
(CITY)
(COUNTY)
(STATE)
Probable address for the next year
Same as above
(STREET, ETC.)
Telephone No.
80j
Clayton,
Barbour n Ala.
(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)
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.
6
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yes
2
Have you ever been?
Yes
Indicate present physical condition
Good
Would you respond to an emergency call in event of epidemic, disaster, war, etc.?
Yes
Badge No. 6-22-97 62277
Current date
5-25-39
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.
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "I\na\na\nI\nin\n#62277\nEORM-1045-A\nM\nARC\n1938\nAMERICAN RED CROSS\nRECEIN\na\nNATIONAL HEADQUARTERS\nWASHINGTON, D.C.\nMAY.291939\nMay 19, 1939\nReferred\nnursing\nD\n-\ne\nDear Red Cross Nurse:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYours sincerely,\nIMPORTANT:\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nMary Beard\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\nDirector, Nursing Service\nthe address of the Secretary.\nName in full\nMary Alice Harris\nIf married, give husband's name\nPermanent address\nClayton, Alabama - box 156\nBarbour\nAlar\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year\nSame as above\n(STREET, ETC.)\nTelephone No.\n80j\nClayton,\nBarbour n Ala.\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)\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.\n6\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yes\n2\nHave you ever been?\nYes\nIndicate present physical condition\nGood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nYes\nBadge No. 6-22-97 62277\nCurrent date\n5-25-39\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."
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