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FORM 1045
REV. 1-2-35
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D. C.
Dear Madam:
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you
therefore, please answer the following questions and return this form to me, in the
enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONAIRE IS FILED
WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-
oganize the value of filing this information and will return the questionnaire promptly,
as we are extremely anxious to make a very complete report to National Headquarters.
IMPORTANT:
Yours sincerely,
In order to render prompt service
Chairman or
in time of disaster, enrolled Red Cross
Nurses should report at once to the
Lucile M. Highy
Secretary.
Secretary of the Local Committee under
Oregon
Local Committee.
which they are enrolled. Do not forget
the address of the Secretary.
Name in full GENEVIEVE LEPRESTRE
If married, give husband s name
Permanent address 118 N. W. 22nd (CITY) Place, Portlaid (COUNTY) (STATE) oregon
(STREET, ETC.)
Probable address for next year
(STREET, ETC.)
Telephone No. Be 8217
(CITY)
(COUNTY)
(STATE)
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship) (sister)
Ims Henry W. Coruell Jr. 514 Gramatau air -Veruor u.y.
Underline the type of work you are now doing:
Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -
Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no
Have you ever been?
no
Indicate present physical condition
good
Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes
Badge No. 62545
Current date 3-18-36-
NOTE.- If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrolment will be removed from our active files.
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"ocrText": "FORM 1045\nREV. 1-2-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\noganize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nChairman or\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nLucile M. Highy\nSecretary.\nSecretary of the Local Committee under\nOregon\nLocal Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full GENEVIEVE LEPRESTRE\nIf married, give husband s name\nPermanent address 118 N. W. 22nd (CITY) Place, Portlaid (COUNTY) (STATE) oregon\n(STREET, ETC.)\nProbable address for next year\n(STREET, ETC.)\nTelephone No. Be 8217\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship) (sister)\nIms Henry W. Coruell Jr. 514 Gramatau air -Veruor u.y.\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nno\nIndicate present physical condition\ngood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nBadge No. 62545\nCurrent date 3-18-36-\nNOTE.- If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}