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Maseroll, Marian Catherine

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3 FORM 1045 REV. JAN 1941 AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. Signature Name in full meseroll marian Catherine Yeay of Birth 12-10-1898 3 (SURNAME) / (FIRST) (MIDDLE) Husband's name - as Permanent address Carteret (STREET) Village (CITY) Change (COUNTY) Essex nJ (STATE) an Probable address for the next year Same as ahove (STREET) (CITY) (COUNTY) (STATE) Telephone number Or 5-4423 C (EXCHANGE) (NO.) a Give name and address of nearest relative or friend in United States: Mrs (NAME) Estella meseroll. (RELATIONSHIP) mother manaequans (ADDRESS) nJ PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed 1 Institutional 5 Public Health X Private duty State Depts of Health - Frenton AJ e Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR RESPONSIBILITIES Adminis Super Teach- General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available anytime In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching Fine classes in Home Hygiene and Care of the Sick? yes Present physical condition Badge No. 41543 Newark Local n Jan Current date 2-26-41 Name of Committee Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enrollment will be removed from our active files. to

Page data

Page
73
Source index
0
Type
photo
Media ID
e06b3f03e603527a
Size
unknown

Document data

ID
2661965
Core
doc
Type
document
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Context sent to Scholar

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Document source extras 
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    "naId": 2661965,
    "coverageEndDate": {
        "day": 19,
        "logicalDate": "1945-09-19",
        "month": 9,
        "year": 1945
    },
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        "day": 11,
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Page context 
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    "ocrText": "3\nFORM 1045\nREV. JAN 1941\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nSignature\nName in full meseroll marian Catherine Yeay of Birth 12-10-1898\n3\n(SURNAME)\n/\n(FIRST)\n(MIDDLE)\nHusband's name\n-\nas\nPermanent address Carteret (STREET) Village (CITY) Change (COUNTY) Essex\nnJ\n(STATE)\nan\nProbable address\nfor the next year\nSame as ahove\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number\nOr\n5-4423\nC\n(EXCHANGE)\n(NO.)\na\nGive name and address of nearest relative or friend in United States:\nMrs (NAME) Estella meseroll. (RELATIONSHIP) mother manaequans (ADDRESS) nJ\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\n1\nInstitutional\n5\nPublic Health\nX\nPrivate duty\nState Depts of Health - Frenton AJ\ne\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable anytime\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould\nyou be interested in teaching Fine classes in Home Hygiene and Care of the Sick? yes\nPresent physical condition\nBadge No. 41543\nNewark Local n Jan\nCurrent date 2-26-41\nName of Committee\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files.\nto"
}