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a 9 5 = IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW-AND CHECK THE APPROPRIATE BOX M AVAILABILITY FOR SERVICE WITH THE ARMED FORCES Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be- eT, Physically fit, single, and under 40. For assignment to the Army Nurse Corps, a Red Cross nurse must be--- e autala fathal. Physically fit, single OR married, and under 40. If qualified for supervision, anaesthesia, (etata) operating room work, or interested in overseas assignment, the age limit is the 45th birthday. If eligible and not already in service, are you booin) TO evilalor to bas Immediately available Available in the near future (specify date) Not available for the following reasons Past 53rd birthday (specify) If married, do you have minor dependents? broad (specify) 54 If the Army decides to accept nurses from 40 to *4 years of age (inclusive) for all assignments, would you be Immediately available Available in the near future (specify date) Not available for the following reasons (specify) AVAILABILITY FOR SERVICE WITH CIVILIANS If not already doing so, will you Teach Red Cross Home Nursing Itaja classes, if qualified? Usually do butnot justnow. Teach Volunteer Nurse's Aides, if qualified? Yes Serve with an overseas unit caring for civilian casualties? Yes Be available for emergency Red Cross assignments? TO 100HD8 PHYSICAL CONDITION Have you been rejected for military service? Yes No Why? Do you believe that you could now meet revised physical requirements for military service? Yes No State present physical condition Good If any disabilities, please specify Red Cross Badge No. 33511 3 Jan.14,1943 (date this form is filled in) Dubugue 3 Name of committee (to be filled in by committee before questionnaire is sent to the nurse) a YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE AND RETURNING IT TO US.

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    "ocrText": "a\n9\n5\n=\nIT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW-AND\nCHECK THE APPROPRIATE BOX\nM\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be-\neT,\nPhysically fit, single, and under 40.\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be---\ne\nautala fathal.\nPhysically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,\n(etata)\noperating room work, or interested in overseas assignment, the age limit is the 45th\nbirthday.\nIf eligible and not already in service, are you\nbooin) TO evilalor to bas\nImmediately available\nAvailable in the near future\n(specify date)\nNot available for the following\nreasons Past 53rd birthday (specify)\nIf married, do you have minor dependents?\nbroad\n(specify)\n54\nIf\nthe Army decides to accept nurses from 40 to *4 years of age (inclusive) for all assignments, would you be\nImmediately available\nAvailable in the near future\n(specify date)\nNot available for the following reasons\n(specify)\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf not already doing so, will you\nTeach Red Cross Home Nursing Itaja classes, if qualified? Usually do butnot justnow.\nTeach Volunteer Nurse's Aides, if qualified?\nYes\nServe with an overseas unit caring for civilian casualties? Yes\nBe available for emergency Red Cross assignments?\nTO 100HD8\nPHYSICAL CONDITION\nHave you been rejected for military service?\nYes\nNo\nWhy?\nDo you believe that you could now meet revised physical requirements for military service?\nYes\nNo\nState present physical condition Good\nIf any disabilities, please specify\nRed Cross Badge No. 33511\n3\nJan.14,1943\n(date this form is filled in)\nDubugue\n3\nName of committee\n(to be filled in by committee before questionnaire is sent to the nurse)\na\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL\nEMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE\nAND RETURNING IT TO US."
}