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a x FORM 1045 REV. JAN 1941 AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D.C. K Name in full Lauton , Ruth (SURNAME) Year of Birth 1902 (FIRST) & (MIDDLE) Husband's name + Permanent address marairan Falle, wilkle narth Carolina (STREET) (CITY) (COUNTY) (STATE) Probable address for the next year County (SYREET) Health Dept., (CITY) Murfructors Rutherfard, (COUNTY) Jenussee (STATE) Telephone number 1271 (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: me W.a Layton, mother (NAME) (RELATIONSHIP) mardious Falk, n.c. (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public Health Private duty Other (write in) with Country Health Department state Teachers college T affilliated Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S. Indian Service Children's Bureau MAJOR RESPONSIBILITIES Adminis Super Teach General Private of present employment Other tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No I In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? yes D. Present physical condition bood Badge No. Home Defease LIKLIAN NDC. American Red Crees Narging Servide Hespitar Current date april for 18,1941 U Name of Committee Note: If a nurse does not complete and return this questionnaire, and cannot be located Nashville, Temnessee within two years, her enrollment will be removed from our active files.

Page data

Page
36
Source index
0
Type
photo
Media ID
192a789259307014
Size
unknown

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2661809
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    "ocrText": "a\nx\nFORM 1045\nREV. JAN 1941\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D.C.\nK\nName in full\nLauton\n,\nRuth\n(SURNAME)\nYear of Birth 1902\n(FIRST)\n&\n(MIDDLE)\nHusband's name\n+\nPermanent address\nmarairan Falle, wilkle narth Carolina\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nfor the next year County (SYREET) Health Dept., (CITY) Murfructors Rutherfard, (COUNTY) Jenussee\n(STATE)\nTelephone number\n1271\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nme W.a Layton, mother\n(NAME)\n(RELATIONSHIP)\nmardious Falk, n.c.\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nwith Country Health Department\nstate Teachers college T affilliated\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S. Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis\nSuper\nTeach\nGeneral\nPrivate\nof present employment\nOther\ntration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nI\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? yes\nD.\nPresent physical condition\nbood\nBadge No. Home\nDefease\nLIKLIAN NDC.\nAmerican Red Crees Narging Servide\nHespitar\nCurrent date april for 18,1941\nU\nName of Committee\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nNashville, Temnessee\nwithin two years, her enrollment will be removed from our active files."
}