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FORM 1045
AMERICAN RED CROSS
REV. OCT. 1943
NURSING SERVICE
N
ANNUAL QUESTIONNAIRE-194
a
to
Red Cross
Badge number 41,276
If you have changed your last name
e
since contacting us, please check here.
t.
Name in full
mcneil
Ella
Elizabeth
Tel. No. 2-2731
(last)
(first)
(middle)
If married, give maiden name
Date of birth Nov 25,1900
Marital status
Single
Husband's name
(single, married, widowed, divorced)
Permanent address
1407 Morton Guve ann Arbor Washtenaw
Mich
(street)
(city)
(county)
(state)
Present address
Same
(street)
(city)
(county)
(state)
betaubasD
Notify national headquarters immediately if you change your address.
Give name and address of nearest relative or friend in the United States:
Mrs. a.o. Howard 304 maiden hane
Tecumseh, Micin Mother
(name)
(address)
(relationship)
Are you employed in nursing at the present time? Yes
No
If employed, check the type of work you are doing and fill in below the title of your position and the name
and address of the agency or institution:
Institutional
Public Health
Industrial
Private Duty
Other
associate Prof P.H. Nursing School of P.H. 408 michigan ann Arbor
If not employed, what type of nursing would you prefer to render?
IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND
ANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX
AVAILABILITY FOR SERVICE WITH THE ARMED FORCES
Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.
For assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She
may be single or married, but if married she must have no dependents under 14 years of age.
If eligible and not already in service with the armed forces, are you :
Immediately available?
Available in the near future?
Jadw
al
(specify date)
Not available, for the following reason Probably more useful (specify) in public health work.
Do you have any dependents under 14 years of age? Yes
No
and
AVAILABILITY FOR SERVICE WITH CIVILIANS
If qualified and not already doing so, will you be available:
A
8.A
To teach Red Cross Home Nursing classes?
To teach volunteer nurse's aides?
To take a Red Cross emergency assignment?
To serve overseas caring for civilians?
Have you ever served with the Red Cross in a disaster? Yes
No
If which yes, specify I type of disaster Only when disaster wgs in local chapter by
was employed. Flood. - Philadel phia , ta.
Page data
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- Source index
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- Type
- photo
- Media ID
- 9f44177d9e17dd28
- Size
- unknown
Document data
- ID
- 2661950
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "FORM 1045\nAMERICAN RED CROSS\nREV. OCT. 1943\nNURSING SERVICE\nN\nANNUAL QUESTIONNAIRE-194\na\nto\nRed Cross\nBadge number 41,276\nIf you have changed your last name\ne\nsince contacting us, please check here.\nt.\nName in full\nmcneil\nElla\nElizabeth\nTel. No. 2-2731\n(last)\n(first)\n(middle)\nIf married, give maiden name\nDate of birth Nov 25,1900\nMarital status\nSingle\nHusband's name\n(single, married, widowed, divorced)\nPermanent address\n1407 Morton Guve ann Arbor Washtenaw\nMich\n(street)\n(city)\n(county)\n(state)\nPresent address\nSame\n(street)\n(city)\n(county)\n(state)\nbetaubasD\nNotify national headquarters immediately if you change your address.\nGive name and address of nearest relative or friend in the United States:\nMrs. a.o. Howard 304 maiden hane\nTecumseh, Micin Mother\n(name)\n(address)\n(relationship)\nAre you employed in nursing at the present time? Yes\nNo\nIf employed, check the type of work you are doing and fill in below the title of your position and the name\nand address of the agency or institution:\nInstitutional\nPublic Health\nIndustrial\nPrivate Duty\nOther\nassociate Prof P.H. Nursing School of P.H. 408 michigan ann Arbor\nIf not employed, what type of nursing would you prefer to render?\nIT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She\nmay be single or married, but if married she must have no dependents under 14 years of age.\nIf eligible and not already in service with the armed forces, are you :\nImmediately available?\nAvailable in the near future?\nJadw\nal\n(specify date)\nNot available, for the following reason Probably more useful (specify) in public health work.\nDo you have any dependents under 14 years of age? Yes\nNo\nand\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf qualified and not already doing so, will you be available:\nA\n8.A\nTo teach Red Cross Home Nursing classes?\nTo teach volunteer nurse's aides?\nTo take a Red Cross emergency assignment?\nTo serve overseas caring for civilians?\nHave you ever served with the Red Cross in a disaster? Yes\nNo\nIf which yes, specify I type of disaster Only when disaster wgs in local chapter by\nwas employed. Flood. - Philadel phia , ta."
}