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+ FORM 1045 REV. JAN 1941 AMERICAN RED CROSS 2H NATIONAL HEADQUARTERS WASHINGTON, D. C. LEPRESTRE GENEVIEVE Name in full Year of Birth I900 (SURNAME) (FIRST) (MIDDLE) Husband's name 2334 N.W.NORTHRUP, PORTLAND, OREGON. Permanent address (STREET) (CITY) (COUNTY) (STATE) Probable address Same for the next year (STREET) (CITY) (COUNTY) (STATE) Telephone number Beacon 82I7. (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: Mrs Henry E.Cornell, (Sister) 48 Bayway Ave, Brightwaters, Long Island, N.Y. (NAME) (RELATIONSHIP) (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public Health Private duty X Other (write in) 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 Other of present employment 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 X No Navy? Yes No available Now 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 In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? NO Present physical condition Good 62545 Badge No. Current date 2-2I-4I Oregon State & Local Name of Committee Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enrollment will be removed from our active files.

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Context sent to Scholar

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    "ocrText": "+\nFORM 1045\nREV. JAN 1941\nAMERICAN RED CROSS\n2H\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nLEPRESTRE\nGENEVIEVE\nName in full\nYear of Birth I900\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\n2334 N.W.NORTHRUP, PORTLAND, OREGON.\nPermanent address\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nSame\nfor the next year\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number\nBeacon 82I7.\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nMrs Henry E.Cornell, (Sister) 48 Bayway Ave, Brightwaters, Long Island, N.Y.\n(NAME)\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\nX\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES\nAdminis\nSuper-\nTeach-\nGeneral\nPrivate\nOther\nof present employment\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\nX\nNo\nNavy? Yes\nNo\navailable\nNow\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy?\nYes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? NO\nPresent physical condition\nGood\n62545\nBadge No.\nCurrent date 2-2I-4I\nOregon State & Local\nName of Committee\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files."
}