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I LV N M 4 1 as J THE AMERICAN NATIONAL RED CROSS s MIDWESTERN AREA - NURSING SERVICES (b a & CHAPTER RECOMMENDATION TO AREA OFFICE - RED CROSS NURSE TO BE CONSIDERED FOR S ESTABROOK AWARD - RED CROSS NURSE'S GOLD BADGE N + a AREA Midwestern Area 0 CHAPTER Gray Co. ADDRESS Box 1036, Pampa, Texas 79065 C Mrs. Forrest N. Hills ( Majaunta) McKnerney ) M NAME OF CANDIDATE (Last, first, middle) (Maiden) T (s CURRENT ADDRESS Rt. 1 Box A-5 Pampa, Texas 79065 F PLACE AND DATE OF BIRTH July 26, 1920- - at Stockford, Oklahoma or SCHOOL OF NURSING Mercy Hospital, San Diego, Californie OF GRADUATION re (Name, location) a + DATE OF ENROLLMENT AS RED CROSS NURSE BADGE NUMBER Inst. Trainer for Care of the Sick & Injured for chapter 1 PRESENT POSITION (Title, employer, location) C Works at Highland General Hospital 3 days a week onOB Floor ,Pampa, Texas PREVIOUS PROFESSIONAL NURSING EXPERIENCE employer - Bill W. Robertson RED CROSS SERVICE (In detail, describe types of service, amount of time given, and value of service. Include information which will help the judges choose the most outstanding candidates.) Instructor in Mother & Baby Care - taught classes for 6 years. Worked as Regional Director for Funds in 1965-66 for CST. Took training in Houston, Texas 1966 to become Inst. Trainer in Care of Sick & Injured -- 500 hours of Vdluntaey statements chapter from community leaders indicating the value of this individual's service to the community through Red Cross.) Prepare in triplicate - Send TWO copies to Area Office by January 23, 1967. IA 30054L-2 12/19/66 / a 9 e

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