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Form 1045
Rev. Nov. 1941
AMERICAN RED CROSS
NURSING SERVICE
Name in full Mc Manus R. (first) Louise (Metralfe
Tel. No. Monvineri -2-7791
(last)
(middle)
If
married, give maiden name Radzal Louise Metcalfc Year of birth 1896
widowed
a
Marital status
Husband's name
John Hugh McManus
(single, married, widowed,
Permanent address. SBass River (Main Street) Mass-
(June! septes
also feet) west st (couptor) w York (sta 4. septis May31
Probable address
for the next year
520 (street) West 122st (city) New (county) yorte LYS (state)*
Give name and address of nearest relative or friend in United States:
Jean (name) Alice McManus - (relationship) daughter (address) 520 Westizzatity
Are you employed in nursing at the present time? Yes
No
Teaching in Mursing Ed.Division
Teachers Colluge
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
Institutional
Public health
Industrial
Private duty
Other (write in)
Instructor, Nursing Education Div. Teachers 61lege ny.
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
INH.D.
Certificate in
* one year
year
years
years
years
degree
degree
degree
Public Health
t2yrs
In what major field was above study? Measurement in Nursing Ed
Administration ih N. solf Supervision.
What languages, other than English, do you speak?
*Academic year
(OVER)
w
w
Page data
- Page
- 6
- Source index
- 0
- Type
- photo
- Media ID
- c37dd8a83a778b53
- Size
- unknown
Document data
- ID
- 2661947
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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"month": 5,
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Page context
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"ocrText": "Form 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full Mc Manus R. (first) Louise (Metralfe\nTel. No. Monvineri -2-7791\n(last)\n(middle)\nIf\nmarried, give maiden name Radzal Louise Metcalfc Year of birth 1896\nwidowed\na\nMarital status\nHusband's name\nJohn Hugh McManus\n(single, married, widowed,\nPermanent address. SBass River (Main Street) Mass-\n(June! septes\nalso feet) west st (couptor) w York (sta 4. septis May31\nProbable address\nfor the next year\n520 (street) West 122st (city) New (county) yorte LYS (state)*\nGive name and address of nearest relative or friend in United States:\nJean (name) Alice McManus - (relationship) daughter (address) 520 Westizzatity\nAre you employed in nursing at the present time? Yes\nNo\nTeaching in Mursing Ed.Division\nTeachers Colluge\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nInstructor, Nursing Education Div. Teachers 61lege ny.\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\nINH.D.\nCertificate in\n* one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nt2yrs\nIn what major field was above study? Measurement in Nursing Ed\nAdministration ih N. solf Supervision.\nWhat languages, other than English, do you speak?\n*Academic year\n(OVER)\nw\nw"
}