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e 1 I C T (p) Names of all relatives nearer than second cousins in the war service of the United States Government. 1 Mr None a I 5. If foreign born, give date and court of your naturalization May. 1915 Supreme Court, Blklyn. 6. Single, married, widow, or widower Single (a) Number of dependents None (b) Full name and address of nearest relative or friend Lilian Fearn, F a Sea View Hospital, Staten Island, rb a (c) Full name of wife before marriage; or husband N.Y. a a (d) Birthplace of wife or husband (e) Nationality of wife or husband (f) Birthplace and nationality of father of wife or husband I (g) Birthplace and nationality of mother of wife or husband 7. Kind of service preferred. (Specify.) Social Service - Any. prefer 8. Would (b) Describe you fully foreign any service? experience Yes you have ever (a) If had so, in in service what country of the American or countries? Red Cross. France or England enter J. None L 9. Would you serve without pay and defray all of your necessary expenses? cannot (a) With only expenses defrayed for you? cannot (b) If not, what minimum salary would you require in addition to the defraying of your expenses? Salary given by Red Cross for Foreign Service. IO. What University or College attended? Year graduated II. Can you speak French fluently? No (a) If not, to what degree, if any? slightly (b) Can you translate French easily? (c) If not, to what degree, if any? little I2. What other foreign languages do you speak? None (a) State extent of your knowledge of each Very slight knowledge of German. 13. As references, give names and addresses of three American citizens not related to you. Charles H. Brown, 1038a Sterling Ple, Brooklyn, Y. Merritt O. Richmond, 158 Martense St. Brooklyn, N.Y. William Hepburn, 803 Eastern Parkway, Brooklyn, N.Y. 14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations based on race, nationality, etc., to which you belong or have at any time belonged, since August 1, 1914. 15. If enrolled in service, name earliest date you could take up work Sent. l.s.t... I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief. Sara H. Fearn. Signature. Division Personnel Committee examining application Atlantic Date of report July 30, 1.918 Report of Committee. (Be specific.) Recommended as good loyal woman Date of receipt at National Headquarters Checked by Comments:

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Context sent to Scholar

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    "ocrText": "e\n1\nI\nC\nT\n(p) Names of all relatives nearer than second cousins in the war service of the United States Government.\n1\nMr\nNone\na\nI\n5. If foreign born, give date and court of your naturalization May. 1915 Supreme Court, Blklyn.\n6. Single, married, widow, or widower Single\n(a) Number of dependents\nNone\n(b) Full name and address of nearest relative or friend\nLilian Fearn,\nF\na\nSea View Hospital, Staten Island,\nrb\na\n(c) Full name of wife before marriage; or husband\nN.Y.\na\na\n(d) Birthplace of wife or husband\n(e) Nationality of wife or husband\n(f) Birthplace and nationality of father of wife or husband\nI\n(g) Birthplace and nationality of mother of wife or husband\n7. Kind of service preferred. (Specify.) Social Service\n-\nAny. prefer\n8. Would (b) Describe you fully foreign any service? experience Yes you have ever (a) If had so, in in service what country of the American or countries? Red Cross. France or England\nenter\nJ.\nNone\nL\n9. Would you serve without pay and defray all of your necessary expenses? cannot\n(a) With only expenses defrayed for you?\ncannot\n(b)\nIf not, what minimum salary would you require in addition to the defraying of your expenses?\nSalary given by Red Cross for Foreign Service.\nIO. What University or College attended?\nYear graduated\nII. Can you speak French fluently?\nNo\n(a) If not, to what degree, if any? slightly\n(b) Can you translate French easily?\n(c) If not, to what degree, if any? little\nI2. What other foreign languages do you speak?\nNone\n(a) State extent of your knowledge of each Very slight knowledge of German.\n13. As references, give names and addresses of three American citizens not related to you.\nCharles H. Brown, 1038a Sterling Ple, Brooklyn, Y.\nMerritt O. Richmond, 158 Martense St. Brooklyn, N.Y.\nWilliam Hepburn, 803 Eastern Parkway, Brooklyn, N.Y.\n14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations\nbased on race, nationality, etc., to which you belong or have at any time belonged, since August 1, 1914.\n15. If enrolled in service, name earliest date you could take up work Sent. l.s.t...\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nSara H. Fearn.\nSignature.\nDivision Personnel Committee examining application Atlantic Date of report July 30, 1.918\nReport of Committee. (Be specific.) Recommended as good loyal woman\nDate of receipt at National Headquarters\nChecked by\nComments:"
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