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Form 1045
Rev. Nov. 1942
AMERICAN
RED
CROSS
NURSING SERVICE
Los angeles
If you have changed your last name since
Name
in
full
Lamb
Jone
Stephenson
contacting us, please check here
Elezabeth
Tel. No. No.1-8012
(last)
done
(first)
(middle)
If
married,
give
maiden
name
Elizabeth
Stephenson
Date
of
birth
Marital status
married
Clarence alfred Lamb
May
20,1893
Husband's name
(single, married, widowed, divorced)
Permanent address 4603 (street) Finley are, Loo ingles, (city) Loolengeleu, (county) California (state)
Probable address
for
the
next
year 4603 (street) Finley, are Los ingclea (city) (county) L,A.
California
(state)
Give name and address of nearest relative or friend in United States:
sister
(name)
(relationship)
999# Helen (address) Rooce, Colif.
Are you employed in nursing at the present time?
Yes
No
PRESENT
EMPLOYMENT
(check
below)
Name
of
agency
or
institution
with
which
employed
Institutional
Public health
Industrial
Private duty
Teaching Army, Regular Jurgical Navy, Dressings Regular at Gobinson's Veterans
50m leave
Other (write in)
account of trouble
Government Service:
Administration
Reserve
Reserve
Children's Bureau
U.S.P.H. Service
U.S.
Indian
Service
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
of
present
employment
Supervision
General
staff
Other (specify)
If
not
employed,
what
type
of
nursing
you
prefer
to
render?
How
many
years
did
you
attend
HIGH
SCHOOL?
One
Two
Three
Four
Graduated
Yes
No
Before
entering
training,
years
did
you
attend
COLLEGE?
none
Did
you
have
a
five-year
granting
bachelor's
degree?
no
AFTER
GRADUATION
FROM
YOUR
SCHOOL
OF
NURSING,
did
you
have-
Postgraduate course
in a hospital
Experience
in
hospital
1. A postgraduate course or experience in any of the following services? (at least 3 months)
(at least 6 months)
Communicable disease nursing (include tuberculosis)
Psychiatric nursing
Operating room
Anaesthesia
2. Have you had any courses in a college or university?
Less
than
One
Two
Three
Four
Bachelor's
Master's
Ph.D.
M.
D.
one
academic
year
year
years
years
years
degree
degree
degree
degree
In
what
field
was
above
study?
3.
experience
in
the
public
health
field:
Postgraduate
4
months
or
more
Certificate
Degree
Experience 6 months
Have you ever held a position as an air hostess?
Yes
No
How long?
Have you ever had any other air experience?
Yes
No
Specify
(OVER)
Page data
- Page
- 5
- Source index
- 0
- Type
- photo
- Media ID
- ef6888d38fedc8a9
- Size
- unknown
Document data
- ID
- 2661790
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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"naId": 2661790,
"coverageEndDate": {
"day": 4,
"logicalDate": "1943-01-04",
"month": 1,
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"logicalDate": "1917-07-21",
"month": 7,
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},
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Page context
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"ocrText": "2 will\nForm 1045\nRev. Nov. 1942\nAMERICAN\nRED\nCROSS\nNURSING SERVICE\nLos angeles\nIf you have changed your last name since\nName\nin\nfull\nLamb\nJone\nStephenson\ncontacting us, please check here\nElezabeth\nTel. No. No.1-8012\n(last)\ndone\n(first)\n(middle)\nIf\nmarried,\ngive\nmaiden\nname\nElizabeth\nStephenson\nDate\nof\nbirth\nMarital status\nmarried\nClarence alfred Lamb\nMay\n20,1893\nHusband's name\n(single, married, widowed, divorced)\nPermanent address 4603 (street) Finley are, Loo ingles, (city) Loolengeleu, (county) California (state)\nProbable address\nfor\nthe\nnext\nyear 4603 (street) Finley, are Los ingclea (city) (county) L,A.\nCalifornia\n(state)\nGive name and address of nearest relative or friend in United States:\nsister\n(name)\n(relationship)\n999# Helen (address) Rooce, Colif.\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT\nEMPLOYMENT\n(check\nbelow)\nName\nof\nagency\nor\ninstitution\nwith\nwhich\nemployed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nTeaching Army, Regular Jurgical Navy, Dressings Regular at Gobinson's Veterans\n50m leave\nOther (write in)\naccount of trouble\nGovernment Service:\nAdministration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S.\nIndian\nService\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof\npresent\nemployment\nSupervision\nGeneral\nstaff\nOther (specify)\nIf\nnot\nemployed,\nwhat\ntype\nof\nnursing\nyou\nprefer\nto\nrender?\nHow\nmany\nyears\ndid\nyou\nattend\nHIGH\nSCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBefore\nentering\ntraining,\nyears\ndid\nyou\nattend\nCOLLEGE?\nnone\nDid\nyou\nhave\na\nfive-year\ngranting\nbachelor's\ndegree?\nno\nAFTER\nGRADUATION\nFROM\nYOUR\nSCHOOL\nOF\nNURSING,\ndid\nyou\nhave-\nPostgraduate course\nin a hospital\nExperience\nin\nhospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess\nthan\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.\nD.\none\nacademic\nyear\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn\nwhat\nfield\nwas\nabove\nstudy?\n3.\nexperience\nin\nthe\npublic\nhealth\nfield:\nPostgraduate\n4\nmonths\nor\nmore\nCertificate\nDegree\nExperience 6 months\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)"
}