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Latus, Lillian Viola

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FORM 1045 REV. 4-4-38 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. H QUESTIONNAIRES DESTROYED Lit" Dear Red Cross Nurse: MAR 101939 0 - The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you a therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Chairman or Nurses should report at once to the HELEN E. SHEARSTON Secretary. SECRETARY Secretary of the Local Committee under MARYLAND which they are enrolled. Do not forget STATE AND LOCAL Committee. ROSS ANURSING SERVICE the address of the Secretary. CITY HOSPITAL - EASTERN AVE. BALTIMORE, MARYLAND. Name in full hillian Vinla Latus If married, give husband's name Permanent address (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year memorial Hosp Cumberland, md. (STREET. ETC.) Telephone No. Cimberland 2400 Cambeland (CITY) alleganly (COUNTY) med. (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Cousin - ms arthur Robbins. 166 wesh main st Plainide Underline the type of work you are now doing: cann Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? no Would you like to teach Red Cross classes? in necessing Indicate present physical condition excellent Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes Badge No. 23972 Current date man.15-39 NOTE. - If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files. 2

Page data

Page
94
Source index
0
Type
photo
Media ID
2339c94fe4ea1d99
Size
unknown

Document data

ID
2661803
Core
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Type
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Context sent to Scholar

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    "coverageEndDate": {
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        "logicalDate": "1945-09-15",
        "month": 9,
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Page context 
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    "ocrText": "FORM 1045\nREV. 4-4-38\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nH QUESTIONNAIRES DESTROYED\nLit\"\nDear Red Cross Nurse:\nMAR 101939\n0\n-\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\na\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nChairman or\nNurses should report at once to the\nHELEN E. SHEARSTON\nSecretary.\nSECRETARY\nSecretary of the Local Committee under\nMARYLAND\nwhich they are enrolled. Do not forget\nSTATE AND LOCAL Committee.\nROSS ANURSING SERVICE\nthe address of the Secretary.\nCITY HOSPITAL - EASTERN AVE.\nBALTIMORE, MARYLAND.\nName in\nfull hillian Vinla Latus\nIf married, give husband's name\nPermanent address\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year memorial Hosp Cumberland, md.\n(STREET. ETC.)\nTelephone No. Cimberland 2400 Cambeland (CITY) alleganly (COUNTY) med. (STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nCousin - ms arthur Robbins. 166 wesh main st Plainide\nUnderline the type of work you are now doing:\ncann\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave\nyou\never\nbeen?\nno\nWould you like to teach Red Cross classes? in necessing\nIndicate present physical condition excellent\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes\nBadge No. 23972\nCurrent\ndate man.15-39\nNOTE. - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files.\n2"
}