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Mayo, Marion Kathleen

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M larg, FORM 1045 REV. 4-4-38 THE AMERICAN RED CROSS M NATIONAL HEADQUARTERS WASHINGTON, D. C. aT K Dear Red Cross Nurse: a 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 QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize 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: 5 In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Chairman or Nurses should report at once to the F. M. Daggett Secretary. Secretary of the Local Committee under Peter Bent Brigham Hospital which they are enrolled. Do not forget Boston, Mass Local Committee. the address of the Secretary. Name in full Marian K. Mays If married, give husband's name Permanent address 37 may (STREET. ETC.) road Wellerley (CITY) norfalk (COÚNTY) Massachustts (STATE) Probable address for the next year same (STREET. ETC.) Telephone No Willedly 1786 Willerley Mm Molk Masc (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) Underline the type of work you are now doing: Brother - John m Maye 31 Parker road 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 at home Have you ever been? No Would you like to teach Red Cross classes? no Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. Current date april 5, 1939 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.

Page data

Page
16
Source index
0
Type
photo
Media ID
bedfe6255a6f191a
Size
unknown

Document data

ID
2661909
Core
doc
Type
document
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Context sent to Scholar

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        "logicalDate": "1944-01-19",
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Page context 
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    "ocrText": "M\nlarg,\nFORM 1045\nREV. 4-4-38\nTHE AMERICAN RED CROSS\nM\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\naT\nK\nDear Red Cross Nurse:\na\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\n+\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize 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:\n5\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nChairman or\nNurses should report at once to the\nF. M. Daggett\nSecretary.\nSecretary of the Local Committee under\nPeter Bent Brigham Hospital\nwhich they are enrolled. Do not forget\nBoston, Mass\nLocal Committee.\nthe address of the Secretary.\nName in full\nMarian K. Mays\nIf married, give husband's name\nPermanent address 37 may (STREET. ETC.) road Wellerley (CITY) norfalk (COÚNTY) Massachustts (STATE)\nProbable address for the next year\nsame\n(STREET. ETC.)\nTelephone No Willedly 1786\nWillerley\nMm Molk\nMasc\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)\nUnderline the type of work you are now doing:\nBrother - John m Maye 31 Parker road\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\nat home\nHave you ever been? No Would you like to teach Red Cross classes? no\nIndicate present physical condition\ngood\nWould\nyou respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nBadge No.\nCurrent date april 5, 1939\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."
}