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I
5
(6
Top Sheet
Y
Upper portion for Bivisional Record. Also see last portion of application
Mys
form.
+
Recommended by Central Division for enrollment under Requisition
to
If not American citizen, so state, and give citizenship
Is applicant available leaving home two weeks from date full papers are rec'd in
Washington
N
Name
Hines, Myrtle Nellie
Street Address R. F. D. #4
e
Jane McAlister Hospital,
=
City
Frederick, Md.
Temporary Address to what date Waukegan, Ill.
Please check or fill out blanks where possible.
e
Janguages spoken
Location of
Proposed length of stay 1 year or more.
E-Excellent
Service desired
Full Volunteer
No
G-Good F-Fair
Volunteer with expenses met by Red Cross Yes.
Is allowance for living abroad to be left to
discretion of foreign Commission?
Allowance for living abroad if not left to
discretion of foreign Commission?
salary over expense allowance if any $60.00 monyh.
Allowance for living prior to departure: $4.00 day
Requisition for uniform and equipment Yes.
Allowance for transportation overseas and re-
turn Yes.
Allowance for transportation in U.S.and return
Yes.
Physical Report
Age 31
Loyalty investigation conducted by (Name of agency
Date examined
Date Reported
employed, if any)
and Report
central Division.
o. K.
O. K.
List of Loyalty indorsements:
Have passport application and pictures been forwarded
Date
Headquarters Record (Initial, date, and "o.K." where acceptable)
File Record
Date
Referred to
Classification
Full papers
Provisional Enrollment
War Dept. 7/31'18
2
Physical
Actual Enrollment
W
Remarks
8
6
Page data
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- Type
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Document data
- ID
- 2661643
- Core
- doc
- Type
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DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "I\n5\n(6\nTop Sheet\nY\nUpper portion for Bivisional Record. Also see last portion of application\nMys\nform.\n+\nRecommended by Central Division for enrollment under Requisition\nto\nIf not American citizen, so state, and give citizenship\nIs applicant available leaving home two weeks from date full papers are rec'd in\nWashington\nN\nName\nHines, Myrtle Nellie\nStreet Address R. F. D. #4\ne\nJane McAlister Hospital,\n=\nCity\nFrederick, Md.\nTemporary Address to what date Waukegan, Ill.\nPlease check or fill out blanks where possible.\ne\nJanguages spoken\nLocation of\nProposed length of stay 1 year or more.\nE-Excellent\nService desired\nFull Volunteer\nNo\nG-Good F-Fair\nVolunteer with expenses met by Red Cross Yes.\nIs allowance for living abroad to be left to\ndiscretion of foreign Commission?\nAllowance for living abroad if not left to\ndiscretion of foreign Commission?\nsalary over expense allowance if any $60.00 monyh.\nAllowance for living prior to departure: $4.00 day\nRequisition for uniform and equipment Yes.\nAllowance for transportation overseas and re-\nturn Yes.\nAllowance for transportation in U.S.and return\nYes.\nPhysical Report\nAge 31\nLoyalty investigation conducted by (Name of agency\nDate examined\nDate Reported\nemployed, if any)\nand Report\ncentral Division.\no. K.\nO. K.\nList of Loyalty indorsements:\nHave passport application and pictures been forwarded\nDate\nHeadquarters Record (Initial, date, and \"o.K.\" where acceptable)\nFile Record\nDate\nReferred to\nClassification\nFull papers\nProvisional Enrollment\nWar Dept. 7/31'18\n2\nPhysical\nActual Enrollment\nW\nRemarks\n8\n6"
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