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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

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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"
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