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Z I ee e ar I E C N O May 24,1943 a Badge No. 68,072 rlh Form 1045 worma Rev. Nov. 1942 AMERICAN RED CROSS NURSING SERVICE lettle If you have changed your last name since Trs. M contacting us, please check here. Name in full HARWOOD Mellie Frances Tel. No. G.1683 (last) (first) (middle) F If married, give maiden name Labrum sanua 88010 Date of birth aug 29, 1914 N Marital status married Husband's name Palmer Harwood e (single, married, widowed, divorced) Permanent address 1445 (street) Gundment Hollyword (city) L.a Probable address (county) California - (state) for the next year 1445 (street) Gardment Hollywood (city) (county) La e, Calif (state) Give name and address of nearest relative or friend in United States: (name) Labrum (relationship) (mother) 1445 Gardner (address) Rt, Naelyword Coly Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public health Cedar of Lebanon Hospital, Hollywood Industrial Private duty Other (write in) Government Service: Army, Regular Navy, Regular Veterans Administration Reserve 1 I Reserve Children's Bureau U.S.P.H. Service U.S. Indian Service MAJOR RESPONSIBILITIES Administration Teaching Private duty of present employment Supervision General staff Other (specify) If not employed, what type of nursing would you prefer to render? How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No Before entering training, how many years did you attend COLLEGE? one Did you have a five-year course granting bachelor's degree? Mr. AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have- Postgraduate course in a hospital 1. A postgraduate course or experience in any of the following services? (at least 3 months) Experience in hospital (at least 6 months) Communicable disease nursing (include tuberculosis) Psychiatric nursing Operating room Anaesthesia 2. Have you had any courses in a college or university? Less than One Two Three Four Bachelor's Master's Ph.D. M. D. one academic year year years years years degree degree degree degree In what major field was above study? Social science 6 3. Training and experience in the public health field: Postgraduate 4 months or more NOTICE OF TRANSFER Certificate Degree Experience 6 months SENT. 11-13-43 Have you ever held a position as an air hostess? Yes No How long? mls Have you ever had any other air experience? Yes No Specify 0 (OVER) J 2

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Type
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Context sent to Scholar

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Page context
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