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Form 1045 Rev. Nov. 1941 AMERICAN RED CROSS NURSING SERVICE JAN 21942 cke Name in full MCTUER PEARL Tel. No. Em.2850 (last) (first) (middle) If married, give maiden name Year of birth Marital status single Husband's name (single, married, widowed, divorced) Permanent address Lowry minn. (street) (city) (county) (state) Probable address for the next year 3000 39thst.st Washington D.C (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: Ella me ver sister (name) (relationship) Soury (address) Mum 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 u.s. Gushi Health Service Industrial Private duty 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 Bachelor's Master's P.H.D. Certificate in *one year year years years years degree degree degree Public Health In what major field was above study? P.H. Nursing administration What languages, other than English, do you speak? none Academic year (OVER)

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0
Type
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ID
2661941
Core
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Type
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DTO data
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Document identity
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    "coverageEndDate": {
        "day": 16,
        "logicalDate": "1946-07-16",
        "month": 7,
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Page context
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    "ocrText": "Form 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nJAN 21942 cke\nName in full MCTUER\nPEARL\nTel. No. Em.2850\n(last)\n(first)\n(middle)\nIf married, give maiden name\nYear of birth\nMarital status\nsingle\nHusband's name\n(single, married, widowed, divorced)\nPermanent address\nLowry\nminn.\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor the next year\n3000 39thst.st Washington\nD.C\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nElla me ver\nsister\n(name)\n(relationship)\nSoury (address) Mum\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\nu.s. Gushi Health Service\nIndustrial\nPrivate duty\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\nBachelor's\nMaster's\nP.H.D.\nCertificate in\n*one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nIn\nwhat major field was above study? P.H. Nursing administration\nWhat languages, other than English, do you speak?\nnone\nAcademic year\n(OVER)"
}