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For Office Use Only R ECEIVED FORM REV. 1219 AUG. 1941 Date Auth. AMERICAN RED CROSS JAN 16 1942 Type of Auth Chapter APPLICATION FORM AMERICAN RED CROSS State SERVICE IN HAWAII PACIFIC AREA RUBLICO AL NURSE Confidential and Please return Date 1-10-42 I. PERSONAL Name in full Miss (MISS OR MRS) Kinifeed (IF m. MARRIED. La GIVE MAIDEN, Londe NAME) Badge (No. 67724 (H.D. Present address 608 Chishalm alpena Mich Not enrolled Tel. No. 101 m 1652 Cherrylawn Detroit (STATE) 4. This Robert me Carty Permanent address Same Tel. No. same (STREET) (CITY) (STATE) Date of birth 1-10-1901 Marital status (SINGLE. MARRIED. WIDOWE DIVORCED) Single Ice alpena mich DATERCD. Citizenship american MANAGER ASST. MOR. II. EDUCATION ASST. TO MGR. EEPTR 1. Prior to entering school of nursing MONTGANERY Diploma PETER.ON Name City and State Dates or Degree WEDER Major DISASTER Normal High School School Alpena High alpana mich FA,WS, AP HOME RV. JUNIOR or University NORTING Other OFFICE MGR: PERSONNEL 2. School of nursing from which you graduated PUBLIC INF. cation Bay City CITY AND STATE) Mich Date of graduation 1925 Name Mercy School of hursing ROLL CALL Mile & NAV. WELE. Length of coursel 3. Undergraduate affiliations Length of Hospital or Organization City and State Type time spent 4. Academic study since graduation from school of nursing College or University or Diploma postgraduate course City and State No. Months or Degree Major Wayne university Detroit Mich Part time 15 Credit What courses in principles of teaching have you had? Have you had a course in practice teaching? no Do you hold a state teacher's certificate? no Where Do you speak a foreign language? no (Over)

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78
Source index
0
Type
photo
Media ID
c7ccb1c40467fa04
Size
unknown

Document data

ID
2661788
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Type
document
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Document identity
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Document source metadata
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Document source extras
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    "coverageEndDate": {
        "day": 23,
        "logicalDate": "1945-09-23",
        "month": 9,
        "year": 1945
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Page context
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    "ocrText": "For Office Use Only\nR ECEIVED FORM REV.\n1219\nAUG. 1941\nDate Auth.\nAMERICAN RED CROSS\nJAN 16 1942\nType of Auth\nChapter\nAPPLICATION FORM\nAMERICAN RED CROSS\nState\nSERVICE IN HAWAII\nPACIFIC AREA\nRUBLICO AL NURSE\nConfidential\nand\nPlease return\nDate\n1-10-42\nI. PERSONAL\nName in full Miss (MISS OR MRS) Kinifeed (IF m. MARRIED. La GIVE MAIDEN, Londe NAME)\nBadge (No. 67724\n(H.D.\nPresent address 608 Chishalm alpena Mich\nNot enrolled\nTel. No. 101 m\n1652 Cherrylawn Detroit\n(STATE)\n4. This Robert me Carty\nPermanent address\nSame\nTel. No. same\n(STREET)\n(CITY)\n(STATE)\nDate of birth\n1-10-1901\nMarital status\n(SINGLE. MARRIED. WIDOWE DIVORCED)\nSingle\nIce alpena mich\nDATERCD.\nCitizenship\namerican\nMANAGER\nASST. MOR.\nII. EDUCATION\nASST. TO MGR.\nEEPTR\n1. Prior to entering school of nursing\nMONTGANERY\nDiploma\nPETER.ON\nName\nCity and State\nDates\nor Degree\nWEDER Major\nDISASTER\nNormal High School School Alpena High alpana mich\nFA,WS, AP\nHOME RV.\nJUNIOR\nor University\nNORTING\nOther\nOFFICE MGR:\nPERSONNEL\n2. School of nursing from which you graduated\nPUBLIC INF.\ncation Bay City CITY AND STATE) Mich Date of graduation 1925\nName Mercy School of hursing\nROLL CALL\nMile & NAV. WELE.\nLength of coursel\n3. Undergraduate affiliations\nLength of\nHospital or Organization\nCity and State\nType\ntime spent\n4. Academic study since graduation from school of nursing\nCollege or University or\nDiploma\npostgraduate course\nCity and State No. Months or Degree\nMajor\nWayne university Detroit Mich Part time 15 Credit\nWhat courses in principles of teaching have you had?\nHave you had a course in practice teaching?\nno\nDo you hold a state teacher's certificate?\nno\nWhere\nDo you speak a foreign language?\nno\n(Over)"
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