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Maurin, Emma

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M FORM 1045 1 AMERICAN RED CROSS dast NATIONAL HEADQUARTERS WASHINGTON, D.C. I Name in full Mamin Emma m Year of Birth 1888 (SURNAME) (FIRST) (MIDDLE) in Husband's name Permanent address 332 (STREET) Helois (CITY) st Jeffermore (COUNTY) Par. Lovenand (STATE) in a Probable address for the next year 223 Ceral Count Bedg new area fn. (STREET) (CITY) (COUNTY) (STATE) Telephone number (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: has G.S. Brand Sigh 150 Rosewood th. metani (NAME) (RELATIONSHIP) (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public Health La. Heart Dept Private duty Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR RESPONSIBILITIES Adminis Super- Teach- General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? Present physical condition Efcellent 44743 Badge No. Receivilians furtheal com Current date 2/24/41 Name of Committee Note: If a nurse does not complete and return this questionnaire, and cannot be located a within two years, her enrollment will be removed from our active files.

Page data

Page
21
Source index
0
Type
photo
Media ID
4174153673fb5ffb
Size
unknown

Document data

ID
2661903
Core
doc
Type
document
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Context sent to Scholar

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        "month": 9,
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Page context 
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    "ocrText": "M\nFORM 1045\n1\nAMERICAN RED CROSS\ndast\nNATIONAL HEADQUARTERS\nWASHINGTON, D.C.\nI\nName in full Mamin\nEmma\nm\nYear of Birth 1888\n(SURNAME)\n(FIRST)\n(MIDDLE)\nin\nHusband's name\nPermanent address 332 (STREET) Helois (CITY) st Jeffermore (COUNTY) Par. Lovenand (STATE)\nin\na\nProbable address\nfor the next year\n223 Ceral Count Bedg new area fn.\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nhas G.S. Brand Sigh 150 Rosewood th. metani\n(NAME)\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nLa. Heart Dept\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis\nSuper-\nTeach-\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick?\nPresent physical condition\nEfcellent\n44743\nBadge No.\nReceivilians furtheal com\nCurrent date\n2/24/41\nName of Committee\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\na\nwithin two years, her enrollment will be removed from our active files."
}