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Leprestre, Genevieve

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FORM 1045 REV. DEC. 1939 AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. Name in full LEPRESTRE Genevieve "Gee (SURNAME) (FIRST) (MIDDLE) Husband's name Permanent address 2334 N. W. Northrup Portland over (STREET) (CITY) (COUNTY) multional (STATE) county- Probable address for the next year sauce (STREET) (CITY) (COUNTY) (STATE) Telephone number Be 8217- (EXCHANGE) (NO.) Nearest relative or friend in United States, through whom you may be communicated with in an emergency: Rene Seprestive Father (NAME) (RELATIONSHIP) 310 Riverside (STREET) Drive New (CITY) York City (STATE) N.Y. PRESENT WORK (check below) Name of agency or institution with which employed Institutional st Vincents Hospital Public Health Private duty Other (write in) Government Service: Army U.S.P.H.Service Veterans Administration Navy U.S. Indian Service Children's Bureau IF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (write in) Would you respond to an emergency call in event of local or national emergency, such as epidemic, flood, war, etc. (Granted of course that you could be released from present employment) yrs Present physical condition good Would you be interested in teaching classes in Home Hygiene and Care of the Sick? Are you member of the American Nurses' Association? yes a If not, why have you allowed your membership to lapse? no Badge No. 62545 Current date 8-16-40- Name of Committee Oragon State & Local Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enroilment will be removed from our active files.

Page data

Page
76
Source index
0
Type
photo
Media ID
94f50e3778565327
Size
unknown

Document data

ID
2661821
Core
doc
Type
document
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Context sent to Scholar

Document identity 
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Document source extras 
{
    "url": "https://catalog.archives.gov/id/2661821",
    "naId": 2661821,
    "coverageEndDate": {
        "day": 18,
        "logicalDate": "1945-09-18",
        "month": 9,
        "year": 1945
    },
    "coverageStartDate": {
        "day": 21,
        "logicalDate": "1934-11-21",
        "month": 11,
        "year": 1934
    },
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Page context 
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    "ocrText": "FORM 1045\nREV. DEC. 1939\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName in full\nLEPRESTRE Genevieve \"Gee\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address 2334 N. W. Northrup Portland over\n(STREET)\n(CITY)\n(COUNTY) multional\n(STATE)\ncounty-\nProbable address\nfor the next year\nsauce\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number\nBe 8217-\n(EXCHANGE)\n(NO.)\nNearest relative or friend in United States, through whom you may be communicated with in\nan\nemergency: Rene Seprestive\nFather\n(NAME)\n(RELATIONSHIP)\n310 Riverside (STREET) Drive New (CITY) York City (STATE) N.Y.\nPRESENT WORK (check below)\nName of agency or institution with which employed\nInstitutional\nst Vincents Hospital\nPublic Health\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H.Service\nVeterans Administration\nNavy\nU.S. Indian Service\nChildren's Bureau\nIF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nWould you respond to an emergency call in event of local or national emergency, such as\nepidemic, flood, war, etc.\n(Granted of course that you could be released from present employment)\nyrs\nPresent physical condition good\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick?\nAre you member of the American Nurses' Association? yes\na\nIf not, why have you allowed your membership to lapse? no\nBadge No. 62545\nCurrent date 8-16-40-\nName of Committee\nOragon State & Local\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enroilment will be removed from our active files."
}