Ask the Scholar

Page 7 of 79
I can add historical knowledge about this page.

Page image

Page 7

OCR

Disaster 2nd RED CROSS BADGE NUMBER AMERICAN RED CROSS 3770 NURSING SERVICES MILITARY SERIAL NUMBER ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED NAME (Last, first, middle) TELEPHONE NO. IF MARRIED, GIVE, MAIDEN NAME Jennie Paulence HUSBAND'S Ind 2683 NAME PERMANENT ADDRESS (Street, city, zone, county, state) PRESENT ADDRESS (Street, city, zone, 4212 N Learrilt county, state) sb Chicago 18 Its NAME AND ADDRESS OF NEAREST 4212 N RELATIVE OR FRIEND Learth IN THE UNITED st STATES Chicago 18 RELATIONSHIP 2015 JR. Housland day, year) BBother) 41/2nLeavills chicago 22 DATE OF BIRTH (Month, Single Married Separated Widowed Divorced WAXT June LANGUAGES DO 12th YOU SPEAK? 1884 YES NO English HIGH SCHOOL GRADUATE NAME OF COLLEGE OR DEGREE OR UNIVERSITY ATTENDED LOCATION INCLUSIVE DATES DIPLOMA MAJOR ARE YOU CURRENTLY YES REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO NO REGISTERED? x Illinois NURSES' ASSOCIATION? PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D. inst. staff nurse, etc.) SERVICE (Medicine, surgery, etc.) anesthetist NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED CITY. STATE Cook County Hospital Chicago yes HEALTH IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY good VOLUNTEER SERVICE The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are willing and able to serve if called on within the next 12 sonths. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS chicago YES NO Chapter American if offered. are Redcum available for YES (tend an instructors' training program, (Funds NO 1. Teach home nursing classes training home nursing instructors. See local chapter.) YES NO only in home community Attend disaster institutes, 1f YES NO 2. Serve in case In other communities offered, in preparation for service of disaster 3. Teach nurse's YES NO 4. Accept membership on chapter com- YES NO 5. Assist with other chapter YES NO aide classes mittee should services be needed programs, as needed If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES NO you will be able to serve at some time in the future? IF UNABLE TO SERVE, GIVE MAJOR REASONS DATE IGNATURE Oct, AS A RED 17th CROSS NURSE 1945 DEPENDS ON YOUR ABILITY S AND pennic WILLINGNESS TO SERVE AND YOUR PAITRPOLNESS IN YOUR VALUE KEEPING US INFORMAD OF YOUR ADDRESS. PLEASE PILL IN THIS QUESTIONNAIRE AND RETURN If PRONPTLY TO THE COMMITTES NAMED BELOW. MISS JULIA- A. MooNEIL ATTENTION Fill in committee name and address before sending questionnaire "to nurse. e SECRETARY SECRETARY NURSE RECRUITMENT 529 so. WABASH AVE. COMMITTEE CHICAOO 5, ILLINOIS FORM 1045 Rev. July 1945 78504M

Page data

Page
7
Source index
0
Type
photo
Media ID
7eec6cca48a8c736
Size
unknown

Document data

ID
2661647
Core
doc
Type
document
DTO data
{
    "id": "2661647",
    "sourceUrl": "https://catalog.archives.gov/id/2661647",
    "contentType": "document",
    "title": "Hoagland, Jennie P.",
    "citationUrl": "https://catalog.archives.gov/id/2661647",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003239_0548/40033_1521003239_0548-00751.jpg",
    "thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003239_0548/40033_1521003239_0548-00751.jpg",
    "largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003239_0548/40033_1521003239_0548-00751.jpg",
    "imageCount": 79,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}

Context sent to Scholar

Document identity
{
    "localId": "2661647",
    "label": "Hoagland, Jennie P.",
    "core": "doc",
    "dtoType": "document",
    "citationUrl": "https://catalog.archives.gov/id/2661647"
}
Document source metadata
{
    "id": "2661647",
    "sourceUrl": "https://catalog.archives.gov/id/2661647",
    "contentType": "document",
    "title": "Hoagland, Jennie P.",
    "citationUrl": "https://catalog.archives.gov/id/2661647",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003239_0548/40033_1521003239_0548-00751.jpg",
    "thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003239_0548/40033_1521003239_0548-00751.jpg",
    "largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003239_0548/40033_1521003239_0548-00751.jpg",
    "imageCount": 79,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}
Document source extras
{
    "url": "https://catalog.archives.gov/id/2661647",
    "naId": 2661647,
    "coverageEndDate": {
        "day": 17,
        "logicalDate": "1945-10-17",
        "month": 10,
        "year": 1945
    },
    "coverageStartDate": {
        "day": 7,
        "logicalDate": "1913-03-07",
        "month": 3,
        "year": 1913
    },
    "levelOfDescription": "fileUnit",
    "recordType": "description",
    "ocrSource": "nara-archive"
}
Page context
{
    "seq": 7,
    "pageIndex": 0,
    "type": "photo",
    "url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003239_0548/40033_1521003239_0548-00757.jpg",
    "mediaId": "7eec6cca48a8c736",
    "ocrText": "Disaster 2nd\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n3770\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first, middle)\nTELEPHONE NO.\nIF\nMARRIED, GIVE, MAIDEN NAME Jennie Paulence HUSBAND'S\nInd 2683\nNAME\nPERMANENT ADDRESS (Street, city, zone, county, state)\nPRESENT ADDRESS (Street, city, zone,\n4212 N Learrilt county, state) sb Chicago 18 Its\nNAME\nAND ADDRESS OF NEAREST 4212 N RELATIVE OR FRIEND Learth IN THE UNITED st STATES Chicago 18 RELATIONSHIP\n2015\nJR. Housland day, year) BBother) 41/2nLeavills chicago 22\nDATE OF BIRTH (Month,\nSingle\nMarried\nSeparated\nWidowed\nDivorced\nWAXT June LANGUAGES DO 12th YOU SPEAK? 1884\nYES\nNO\nEnglish\nHIGH SCHOOL GRADUATE\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nARE YOU CURRENTLY\nYES\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nNO\nREGISTERED?\nx\nIllinois\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D. inst. staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nanesthetist\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY.\nSTATE\nCook County Hospital\nChicago\nyes\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\ngood\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are willing and able to\nserve if called on within the next 12 sonths.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\nchicago YES NO Chapter American if offered. are Redcum available for YES\n(tend an instructors' training program, (Funds\nNO\n1. Teach home\nnursing classes\ntraining home nursing instructors. See local chapter.)\nYES\nNO\nonly in home community\nAttend disaster institutes, 1f\nYES\nNO\n2. Serve in case\nIn other communities\noffered, in preparation for service\nof disaster\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS\nDATE\nIGNATURE\nOct, AS A RED 17th CROSS NURSE 1945 DEPENDS ON YOUR ABILITY S AND pennic WILLINGNESS TO SERVE AND YOUR PAITRPOLNESS IN\nYOUR VALUE\nKEEPING US INFORMAD OF YOUR ADDRESS. PLEASE PILL IN THIS QUESTIONNAIRE AND RETURN If PRONPTLY TO THE\nCOMMITTES NAMED BELOW.\nMISS JULIA- A. MooNEIL\nATTENTION\nFill in committee name and address before sending questionnaire \"to nurse.\ne\nSECRETARY\nSECRETARY\nNURSE RECRUITMENT\n529 so. WABASH AVE.\nCOMMITTEE\nCHICAOO 5, ILLINOIS FORM 1045 Rev. July 1945\n78504M"
}