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PHYSICAL CONDITION Have you been rejected for military service by: The Army Nurse Corps? Yes No The Navy Nurse Corps? Yes No (over age) When? Why? Do you believe that you could now meet physical requirements for military service? Yes No What is your present physical condition? At moment very good. If any disabilities, please specify Have an old T.B. lesion dating back I9I4. Have never tried to get into the army because of fear of rejection. If you have had additional study since filing your 1943 Red Cross questionnaire give the type of course and the length of time included: If you did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions: How many years did you attend high school? One Two Three Four Graduated Have had equivalent education. Yes No Have speaking knowledge of Italian & French, having beeing brought countries. up. in thoez BEFORE entering training, how many years did you attend college? Did you have a five-year nursing course granting a bachelor's degree? Yes No AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have: 1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in a hospital) in any of the following services? Course Number of months Experience Number of months Communicable disease nursing (includes tuberculosis) Psychiatric nursing Operating room Anaesthesia 2. Any courses in a college or university? (Check in box.) Less than one One Two Three Four Bachelor's Master's Ph.D. M.D. academic year year years years years degree degree degree degree In what major field was the above study? 3. Experience or training in the public health field? Experience, 6 months or more Postgraduate course. 4 months or more Certificate Degree Gruenive ,A.R.C.N. I-I3-44. (signature) (date this form is filled in) YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE WORLD CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE NAMED BELOW. To be filled in by the committee before the questionnaire is sent to the nurse. (Name of the committee to whom this questionnaire is to be returned) MRS: E. M. STUBBLEFIELD Sec. Nursing Service, American Red Cross (street) (city) 1518 W1 Ider Ave(stite) Honolu'u, 54, T.H.

Page data

Page
14
Source index
0
Type
photo
Media ID
366393efc7b9e312
Size
unknown

Document data

ID
2661821
Core
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Type
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Context sent to Scholar

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Document source extras
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Page context
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    "ocrText": "PHYSICAL CONDITION\nHave you been rejected for military service by:\nThe Army Nurse Corps? Yes\nNo\nThe Navy Nurse Corps? Yes\nNo\n(over age)\nWhen?\nWhy?\nDo you believe that you could now meet physical requirements for military service? Yes\nNo\nWhat is your present physical condition? At moment very good.\nIf any disabilities, please specify Have an old T.B. lesion dating back I9I4.\nHave never tried to get into the army because of fear of rejection.\nIf you have had additional study since filing your 1943 Red Cross questionnaire give the type of course\nand the length of time included:\nIf\nyou did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions:\nHow\nmany\nyears\ndid\nyou\nattend\nhigh\nschool?\nOne\nTwo\nThree\nFour\nGraduated\nHave had equivalent education.\nYes\nNo\nHave speaking knowledge of Italian & French, having beeing brought countries. up. in thoez\nBEFORE entering training, how many years did you attend college?\nDid you have a five-year nursing course granting a bachelor's degree? Yes\nNo\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have:\n1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in a\nhospital) in any of the following services?\nCourse\nNumber of months\nExperience\nNumber\nof\nmonths\nCommunicable disease nursing\n(includes tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Any courses in a college or university? (Check in box.)\nLess than one\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.D.\nacademic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was the above study?\n3. Experience or training in the public health field? Experience, 6 months or more\nPostgraduate course. 4 months or more\nCertificate\nDegree\nGruenive\n,A.R.C.N.\nI-I3-44.\n(signature)\n(date this form is filled in)\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU.\nTHE WORLD CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU FOR FILLING\nIN THIS QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE NAMED BELOW.\nTo be filled in by the committee before the questionnaire is sent to the nurse.\n(Name of the committee to whom this questionnaire is to be returned) MRS: E. M. STUBBLEFIELD\nSec. Nursing Service, American Red Cross\n(street)\n(city)\n1518 W1 Ider Ave(stite)\nHonolu'u, 54, T.H."
}