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M
am
I
this Bangied. Rev. Form
1045
ctc
Nov. 1941
AMERICAN RED CROSS
NURSING SERVICE
Wakhington as Offece
JAN 710A9
nursing service Cedar
Maurin
Emma
Cedar 3896 J & 2438. J
Tel. No.
I
Name in full
(last)
(first)
(middle)
New Orleans; La.
{
Year of birth
If married, give maiden name
5
Single
Husband's name
Marital status
(single, married, widowed, divorced)
I50 Rosewood Drive, Metairie, Louisiana. (outskirts of New Orleans, La. )
a
Permanent address
(street)
(city)
(county)
(state)
Probable address
Same
for the next year
(street)
(city)
(county)
(state)
Give name and address of nearest relative or friend in United States:
Braud, Mrs. A.S.
Sister
I50 Rosewood Dr. Metairie, La.
(relationship)
(address)
(name)
Are you employed in nursing at the present time? Yes
No
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
Public health
Industrial
Private duty
Eastern Area, Americna R.d Cross
Other (write in)
Government Service: Army, Regular
Navy, Regular
Veterans Administration
Reserve
Reserve
Children's Bureau
U.S.P.H. Service
U.S. Indian Service
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
of present employment
Supervision
General Staff
Other (specify)
How many years did you attend HIGH SCHOOL? One
Two
Three
Four
Graduated
Yes
No
SINCE GRADUATION FROM YOUR SCHOOL OF NURSING
have you ever had-
1. A postgraduate course or experience in any of the following special services?
Postgraduate course
Experience in hospital
in a hospital
or public health field
(at least 3 months)
(at least 6 months)
Communicable disease nursing (include Tbc)
Psychiatric Nursing
Operating room
Anaesthesia
Public health nursing
2. Have you taken any courses in a college or university?
Less than
One
Two
Three
Four
Master's
P .H.D.
Certificate in
Bachelor's
4
'one year
year
years
years
years
degree
degree
degree
Public Health
I
Equiv.
In what major field was above study?
P.H.Nursing -
French
9011
What languages, other than English, do you speak?
(OVER)
* Academic year
Page data
- Page
- 16
- Source index
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- Type
- photo
- Media ID
- 05edcdc3dfb3e618
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- unknown
Document data
- ID
- 2661903
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "M\nam\nI\nthis Bangied. Rev. Form\n1045\nctc\nNov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nWakhington as Offece\nJAN 710A9\nnursing service Cedar\nMaurin\nEmma\nCedar 3896 J & 2438. J\nTel. No.\nI\nName in full\n(last)\n(first)\n(middle)\nNew Orleans; La.\n{\nYear of birth\nIf married, give maiden name\n5\nSingle\nHusband's name\nMarital status\n(single, married, widowed, divorced)\nI50 Rosewood Drive, Metairie, Louisiana. (outskirts of New Orleans, La. )\na\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)\nGive name and address of nearest relative or friend in United States:\nBraud, Mrs. A.S.\nSister\nI50 Rosewood Dr. Metairie, La.\n(relationship)\n(address)\n(name)\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nEastern Area, Americna R.d Cross\nOther (write in)\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nSINCE GRADUATION FROM YOUR SCHOOL OF NURSING\nhave you ever had-\n1. A postgraduate course or experience in any of the following special services?\nPostgraduate course\nExperience in hospital\nin a hospital\nor public health field\n(at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include Tbc)\nPsychiatric Nursing\nOperating room\nAnaesthesia\nPublic health nursing\n2. Have you taken any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nMaster's\nP .H.D.\nCertificate in\nBachelor's\n4\n'one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nI\nEquiv.\nIn what major field was above study?\nP.H.Nursing -\nFrench\n9011\nWhat languages, other than English, do you speak?\n(OVER)\n* Academic year"
}