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Form 1045
AMERICAN
RED
CROSS
Rev. Nov. 1942
NURSING
SERVICE
newark
If
you
have
changed
your
last
name
since
E.Sther
contacting
us,
please
check
here.
Name
in
full
Long
Tel.
No
Bi8-0220
(last)
(first)
Kalloch
(middle)
If
maiden
name
Marital
Married
Date of birth June 29, 1901
status
Husband's
name
Ernest
(single, married, widowed, divorced)
Permanent
address
362
Clinton
Ave
Newark
Essey
(street)
(city)
(county)
(state) New Sersey
Probable address
for the next year
(Same as above
(street)
(city)
(county)
(state)
and address of nearest relative or friend in United States:
Ernest
T
Long
Husband
362 Clinton
air
Newart,
(name)
(relationship)
(address)
n.g.
Are
you
employed
in
nursing
at
the
present
time?
Yes
No
PRESENT
EMPLOYMENT
(check
below)
Name
or
institution
with
employed
Institutional
Public health
Red
Cross
Visiting
Nurse
Service
ambay
N.S.
Industrial
Private
duty
Other
(write
in)
Government
Service:
Army,
Regular
Navy,
Regular
Veterans Administration
Children's Bureau
U.S.P.H.
Service
U.S.
Service
MAJOR
RESPONSIBILITIES
Administration
duty
of
present
employment
staff
Other
(specify)
If
not
employed,
what
type
of
nursing
prefer
to
render?
How
many
years
did
you
attend
HIGH
One
Three
Four
Graduated
Yes
No
Before
entering
training,
years
did
you
COLLEGE?
Did
you
have
a
five-year
course
bachelor's
No
AFTER
GRADUATION
FROM
YOUR
SCHOOL
OF
NURSING,
did
you
have-
Postgraduate course
in a hospital
Experience
in
hospital
1. A postgraduate course or experience in any of the following services? (at least 3 months)
(at
least
6
months)
Communicable disease nursing (include tuberculosis)
Psychiatric nursing
Operating room
Anaesthesia
you
had
any
courses
in
a
college
or
university?
than
Two
Three
Four
Bachelor's
Master's
Ph.D.
M. D.
year
years
years
years
degree
degree
degree
degree
In
what
field
was
above
study?
Public Health.
3.
experience
in
the
public
health
field:
Postgraduate
4
months
or
more
Experience
6
months
Have
you
ever
held
a
position
air
hostess?
Yes
No
How long?
Have
you
ever
had
any
other
air
experience?
Yes
No
Specify
(OVER)

Page data

Page: 30
Source index: 0
Type: photo
Media ID: 992fbf4cafecfec5
Size: unknown

Document data

ID: 2661840
Core: doc
Type: document

DTO data

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Context sent to Scholar

Document identity

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    "label": "Long, Mrs. Esther Kalloch (E.J.)",
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Document source metadata

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    "contentType": "document",
    "title": "Long, Mrs. Esther Kalloch (E.J.)",
    "citationUrl": "https://catalog.archives.gov/id/2661840",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
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Document source extras

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    "url": "https://catalog.archives.gov/id/2661840",
    "naId": 2661840,
    "coverageEndDate": {
        "day": 23,
        "logicalDate": "1945-08-23",
        "month": 8,
        "year": 1945
    },
    "coverageStartDate": {
        "day": 24,
        "logicalDate": "1938-05-24",
        "month": 5,
        "year": 1938
    },
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Page context

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    "mediaId": "992fbf4cafecfec5",
    "ocrText": "Form 1045\nAMERICAN\nRED\nCROSS\nRev. Nov. 1942\nNURSING\nSERVICE\nnewark\nIf\nyou\nhave\nchanged\nyour\nlast\nname\nsince\nE.Sther\ncontacting\nus,\nplease\ncheck\nhere.\nName\nin\nfull\nLong\nTel.\nNo\nBi8-0220\n(last)\n(first)\nKalloch\n(middle)\nIf\nmaiden\nname\nMarital\nMarried\nDate of birth June 29, 1901\nstatus\nHusband's\nname\nErnest\n(single, married, widowed, divorced)\nPermanent\naddress\n362\nClinton\nAve\nNewark\nEssey\n(street)\n(city)\n(county)\n(state) New Sersey\nProbable address\nfor the next year\n(Same as above\n(street)\n(city)\n(county)\n(state)\nand address of nearest relative or friend in United States:\nErnest\nT\nLong\nHusband\n362 Clinton\nair\nNewart,\n(name)\n(relationship)\n(address)\nn.g.\nAre\nyou\nemployed\nin\nnursing\nat\nthe\npresent\ntime?\nYes\nNo\nPRESENT\nEMPLOYMENT\n(check\nbelow)\nName\nor\ninstitution\nwith\nemployed\nInstitutional\nPublic health\nRed\nCross\nVisiting\nNurse\nService\nambay\nN.S.\nIndustrial\nPrivate\nduty\nOther\n(write\nin)\nGovernment\nService:\nArmy,\nRegular\nNavy,\nRegular\nVeterans Administration\nChildren's Bureau\nU.S.P.H.\nService\nU.S.\nService\nMAJOR\nRESPONSIBILITIES\nAdministration\nduty\nof\npresent\nemployment\nstaff\nOther\n(specify)\nIf\nnot\nemployed,\nwhat\ntype\nof\nnursing\nprefer\nto\nrender?\nHow\nmany\nyears\ndid\nyou\nattend\nHIGH\nOne\nThree\nFour\nGraduated\nYes\nNo\nBefore\nentering\ntraining,\nyears\ndid\nyou\nCOLLEGE?\nDid\nyou\nhave\na\nfive-year\ncourse\nbachelor's\nNo\nAFTER\nGRADUATION\nFROM\nYOUR\nSCHOOL\nOF\nNURSING,\ndid\nyou\nhave-\nPostgraduate course\nin a hospital\nExperience\nin\nhospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at\nleast\n6\nmonths)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\nyou\nhad\nany\ncourses\nin\na\ncollege\nor\nuniversity?\nthan\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn\nwhat\nfield\nwas\nabove\nstudy?\nPublic Health.\n3.\nexperience\nin\nthe\npublic\nhealth\nfield:\nPostgraduate\n4\nmonths\nor\nmore\nExperience\n6\nmonths\nHave\nyou\never\nheld\na\nposition\nair\nhostess?\nYes\nNo\nHow long?\nHave\nyou\never\nhad\nany\nother\nair\nexperience?\nYes\nNo\nSpecify\n(OVER)"
}

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