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Z I
ea
a
I
E
FORM 1045
REV. JAN 1941
C
AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D. C.
Name
in full Labrum
Nellie Frances
Year of Birth
1914
(SURNAME)
(FIRST)
(MIDDLE)
-
Husband's name
rs.
Parents
Permanent address
Hollywood (CITY)
Losthiple
Calif
F.
(COUNTY)
(STATE)
Until (STREET) march 29,1941 2340 Clay lt San menson
call
Probable address
Theme
1
N
for the next year From June.12-ful (STREET) (CITY) , 1445 Gardres (COUNTY) Lt. Hollywined (STATE) Calif
7im march 30 until June 11, stanford University calis
(b
Telephone number
weet 8000
Stanfard Hospital
c
(EXCHANGE)
(NO.)
Give name and address of nearest relative or friend in United States:
alfred Lebuun
Father
1445 Gardner KP. (ADDRESS) Hollyward Calif
F
(NAME)
(RELATIONSHIP)
PRESENT EMPLOYMENT (check below)
Name of agency or institution with which employed
a
Institutional
Stenfer Univ Hospital
6
1
CP.)
Public Health
Private duty
a
Other (write in)
Government Service: Army
U.S.P.H. Service
Veterans Administration
n
Navy
U.S.Indian Service
Children's Bureau
MAJOR RESPONSIBILITIES Adminis
Super
Teach
General
Private
Other
of present employment tration
vision
ing
Staff
Duty
(specify)
Headnurse. clubtands clinic
IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:
Institutional
Public Health
Private duty
Other
(WRITE IN)
AVAILABILITY
I hane beenasked 5 acception appointment Date July!
At the present time would you
accept assignment to the Army? Yes
No
Navy? Yes
No
available
In case of a war emergency would you
accept assignment to the Army? Yes
No
Navy? Yes
No
If not now employed would you
accept nursing work? Full-time? Yes
No
Part-time? Yes
No
In your own community? Yes
No
Elsewhere? Yes
No
Would you be interested in teaching classes in Home Hygiene and Care of the Sick?
no
Present physical condition Good
Badge No. 68072
Current date 7.1.17.194
Name of Committee
San Francisco Chapter
C
6
8,
Note: If a nurse does not complete and return this questionnaire, and cannot be located
within two years, her enrollment will be removed from our active files.
0
2
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- Source index
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- photo
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Document data
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- 2661601
- Core
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- Type
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"ocrText": "Z I\nea\na\nI\nE\nFORM 1045\nREV. JAN 1941\nC\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName\nin full Labrum\nNellie Frances\nYear of Birth\n1914\n(SURNAME)\n(FIRST)\n(MIDDLE)\n-\nHusband's name\nrs.\nParents\nPermanent address\nHollywood (CITY)\nLosthiple\nCalif\nF.\n(COUNTY)\n(STATE)\nUntil (STREET) march 29,1941 2340 Clay lt San menson\ncall\nProbable address\nTheme\n1\nN\nfor the next year From June.12-ful (STREET) (CITY) , 1445 Gardres (COUNTY) Lt. Hollywined (STATE) Calif\n7im march 30 until June 11, stanford University calis\n(b\nTelephone number\nweet 8000\nStanfard Hospital\nc\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nalfred Lebuun\nFather\n1445 Gardner KP. (ADDRESS) Hollyward Calif\nF\n(NAME)\n(RELATIONSHIP)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\na\nInstitutional\nStenfer Univ Hospital\n6\n1\nCP.)\nPublic Health\nPrivate duty\na\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nn\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis\nSuper\nTeach\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nHeadnurse. clubtands clinic\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nI hane beenasked 5 acception appointment Date July!\nAt the present time would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick?\nno\nPresent physical condition Good\nBadge No. 68072\nCurrent date 7.1.17.194\nName of Committee\nSan Francisco Chapter\nC\n6\n8,\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files.\n0\n2"
}