Ask the Scholar

Page 49 of 50
I can add historical knowledge about this page.

Page image

Page 49

OCR

Form 1037 Rev. 3-1-26 THE AMERICAN NATIONAL RED CROSS NURSING SERVICE Application for Enrollment (To be filled out entirely in applicant's handwriting and each question answered fully.) 1. Name of applicant in full La Malle 2. Address in full 317 W 45 Street 34 1888 Race White Place N.Y of birth c 3. Date of birth England by warrays Birthplace of father Ireland Mother Ireland Citizenship of father american w 4. Are you married, single or a widow? Are you a citizen of the United States? yes lecter 5. How many years have you attended grammar school? 8 yr High school? 4yr Normal school? Private school? College? I yr if tutored privately, name subjects covered and length of time 6. What languages other than English do you speak? none (Underline those which you speak fluently.) 7. Occupation before entering training school non 8. From what hospital training school did you receive y diploma? Mercy Hospital City and State Give name at time of graduation Helen S. Refferty Chicago. see Date of graduation June 15-1905 9. Character of hospital: General? Special? Private? 10. Did your training include obstetrics? yes Care of men? yes Children? yes Contagious diseases? yes 11. Daily average number of patients in hospital during training 500 Length of course 3 yrs 12. Name and address of superintendent of nurses under whom you received training Sister mary Veronica 26 and Calumet an Chicago 13. If your training as a nurse was received in more than one hospital, give name, location and time spent in each State 14. Of what nursing organizations are you a member? National Organization Public Health association of Graduate nurses, Manhattan Brount Inc 16. 15. Which, Give if any, if affiliated with the American Nurses' Association? Manbattan Miss & Brang Teresa abumin Kraker name and address of secretary of at least one of these organizations 17. Are you a registered nurse? yes in what State? n.y Date of registration augs- -1926Number 11779 18. Type of work and length of service since graduation: Private duty stuff Nurse Visiting Nurse Asen Image 52 yrs Registar and Superior " m V LI na Chicago 6 yrs Co may (Present position) Superventendent Metropolitan Life Ins nureing Service 19. Will you be willing to accept active service if the United States becomes involved in war? yes 20. (a) If interested in accepting service within the near future, indicate choice: R. C. P. H. Nursing, Instructor, Home Hygiene and Care of Sick, Army, Navy, U.S. Public Health Service, U. S. Veterans' Bureau. (b) Date upon which you will be available 21. Are you willing to take the oath of allegiance? 22. Name and permanent address of near relative (give yes relationship) Daughter Mildred La Malle Date 5/4/26 Signature of nurse Helen La Malle 8043 Langley an Chicago NOTE. Nurses who have had training or experience in Public Health Nursing will, in addition to the above, fill out questions 23 and 24 on reverse side of this blank. To The Local Committee: This blank is to be sent to applicant with circular letter Form 1199, together with Forms 2, 1193 and A. R. C. 703. Application forms after approval and endorsement by Local Committee, with Forms 1244, 1189, and 1193 should be forwarded to National Headquarters or to the proper Branch Office. (OVER)

Page data

Page
49
Source index
0
Type
photo
Media ID
e9114e97f3e268a0
Size
unknown

Document data

ID
2661789
Core
doc
Type
document
DTO data
{
    "id": "2661789",
    "sourceUrl": "https://catalog.archives.gov/id/2661789",
    "contentType": "document",
    "title": "LaMalle, Helen Rafferty (Mrs.)",
    "citationUrl": "https://catalog.archives.gov/id/2661789",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_1521003239_0526/40033_1521003239_0526-00648.tif",
    "thumbnailUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_1521003239_0526/40033_1521003239_0526-00648.tif",
    "largeImageUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_1521003239_0526/40033_1521003239_0526-00648.tif",
    "imageCount": 50,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}

Context sent to Scholar

Document identity
{
    "localId": "2661789",
    "label": "LaMalle, Helen Rafferty (Mrs.)",
    "core": "doc",
    "dtoType": "document",
    "citationUrl": "https://catalog.archives.gov/id/2661789"
}
Document source metadata
{
    "id": "2661789",
    "sourceUrl": "https://catalog.archives.gov/id/2661789",
    "contentType": "document",
    "title": "LaMalle, Helen Rafferty (Mrs.)",
    "citationUrl": "https://catalog.archives.gov/id/2661789",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_1521003239_0526/40033_1521003239_0526-00648.tif",
    "thumbnailUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_1521003239_0526/40033_1521003239_0526-00648.tif",
    "largeImageUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_1521003239_0526/40033_1521003239_0526-00648.tif",
    "imageCount": 50,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}
Document source extras
{
    "url": "https://catalog.archives.gov/id/2661789",
    "naId": 2661789,
    "coverageEndDate": {
        "day": 10,
        "logicalDate": "1946-04-10",
        "month": 4,
        "year": 1946
    },
    "coverageStartDate": {
        "day": 4,
        "logicalDate": "1926-05-04",
        "month": 5,
        "year": 1926
    },
    "levelOfDescription": "fileUnit",
    "onlineResources": [
        {
            "description": "Ancestry Collection: 2365",
            "note": "This file was scanned as part of a collaboration effort between Ancestry and the National Archives.",
            "url": "https://www.ancestryinstitution.com/search/collections/2365/"
        }
    ],
    "recordType": "description",
    "ocrSource": "nara-archive"
}
Page context
{
    "seq": 49,
    "pageIndex": 0,
    "type": "photo",
    "url": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_1521003239_0526/40033_1521003239_0526-00696.tif",
    "mediaId": "e9114e97f3e268a0",
    "ocrText": "Form 1037\nRev. 3-1-26\nTHE AMERICAN NATIONAL RED CROSS NURSING SERVICE\nApplication for Enrollment\n(To be filled out entirely in applicant's handwriting and each question answered fully.)\n1. Name of applicant\nin full La Malle\n2. Address in full\n317 W 45 Street\n34\n1888 Race White Place N.Y of birth c\n3. Date of birth\nEngland\nby warrays\nBirthplace of father Ireland Mother Ireland\nCitizenship of father american w\n4. Are you married, single or a widow?\nAre you a citizen of the United States? yes\nlecter\n5. How many years have you attended grammar school? 8 yr High school?\n4yr\nNormal\nschool?\nPrivate school?\nCollege? I yr if tutored privately, name subjects covered and length of time\n6. What languages other than English do you speak?\nnone\n(Underline those which you speak fluently.)\n7. Occupation before entering training school non\n8. From what hospital training school did you receive y diploma?\nMercy Hospital\nCity\nand\nState\nGive name at time of graduation Helen S. Refferty\nChicago. see\nDate of graduation June 15-1905\n9. Character of hospital: General?\nSpecial?\nPrivate?\n10. Did your training include obstetrics? yes Care of men? yes Children? yes Contagious diseases? yes\n11. Daily average number of patients in hospital during training 500 Length of course 3 yrs\n12. Name and address of superintendent of nurses under whom you received training\nSister mary Veronica 26 and Calumet an Chicago\n13. If your training as a nurse was received in more than one hospital, give name, location and time spent in each\nState\n14. Of what nursing organizations are you a member? National Organization Public Health\nassociation of Graduate nurses, Manhattan Brount Inc\n16. 15. Which, Give if any, if affiliated with the American Nurses' Association? Manbattan Miss & Brang Teresa abumin Kraker\nname and address of secretary of at least one of these organizations\n17. Are you a registered nurse? yes in what State? n.y Date of registration augs- -1926Number 11779\n18. Type of work and length of service since graduation:\nPrivate duty stuff Nurse Visiting Nurse Asen Image 52 yrs\nRegistar and Superior \" m V LI na Chicago 6 yrs\nCo\nmay\n(Present\nposition) Superventendent Metropolitan Life Ins nureing Service\n19. Will you be willing to accept active service if the United States becomes involved in war? yes\n20.\n(a)\nIf interested in accepting service within the near future, indicate choice: R. C. P. H. Nursing, Instructor,\nHome Hygiene and Care of Sick, Army, Navy, U.S. Public Health Service, U. S. Veterans' Bureau.\n(b) Date upon which you will be available\n21. Are you willing to take the oath of allegiance?\n22. Name and permanent address of near relative (give yes relationship) Daughter Mildred La Malle\nDate 5/4/26 Signature of nurse Helen La Malle 8043 Langley an Chicago\nNOTE. Nurses who have had training or experience in Public Health Nursing will, in addition to the above, fill\nout questions 23 and 24 on reverse side of this blank.\nTo The Local Committee:\nThis blank is to be sent to applicant with circular letter Form 1199, together with Forms 2, 1193 and A. R. C.\n703. Application forms after approval and endorsement by Local Committee, with Forms 1244, 1189, and 1193\nshould be forwarded to National Headquarters or to the proper Branch Office.\n(OVER)"
}