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I 0 a a Are you now a member of the Aerial Nurse Corps of America? Yes No J Have you ever held a position as an air hostess? Yes No How long? e FIRST RESERVE NURSES (Single and under 40 years) 5 If not already serving with the armed forces, when and under what circumstances will you be available? h e SECOND RESERVE NURSES (Married or over 40, or those notified of this classification because of physical disability) In case of unlimited national emergency, do you have home or occupational responsibilities which will limit your field of service? Please specify. no T If so, what type of nursing would you prefer to render? Crusthina If not already teaching Red Cross Home Nursing classes would you be interested in doing so? no Would you be interested in teaching the course for Volunteer Nurse's Aides? no Present physical condition good If any disabilities, please specify Badge No. 3770 Current date Jan 23-1942 Name of Committee CHICAGO (To be filled in by Committee before questionnaire is sent to the nurse) YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE AND RETURNING IT TO US. MAR 3 1942 211 allas a

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