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Form 1045 Rev. Nov. 1941 AMERICAN RED CROSS NURSING SERVICE Name in full MULVILLE Vosophine AngeLA Tel. No. GARRISON 0192 (last) (first) (middle) If married, give maiden name Year of birth Overtifty Marital status. SINGLE Husband's name (single, married, widowed, divorced) Permanent address N.E. Hospital For Woment Children Boston MASS (street) (city) (county) SUTHOLR (state) Probable address for the next year As ABOVE (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: 402Lindinst mas George R Shending ing (Sister) WELLESLEY HOLLS, MASS (name) (relationship) (address) D Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional NE. Hos potal FOR Mr Boston Mast Public health Industrial Private duty Other (write in) someen 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 NOTICE OF TRANSFER 2. Have you taken any courses in a college or university? SENT. 10/17/43 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 CoursGs field was above study? Administration What languages, other than English, do you speak? French- not WELL 6. Academic year (OVER) 4 3 X

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25
Source index
0
Type
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Media ID
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Size
unknown

Document data

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2662007
Core
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Type
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DTO data
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Context sent to Scholar

Document identity
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Document source extras
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    "naId": 2662007,
    "coverageEndDate": {
        "day": 8,
        "logicalDate": "1944-09-08",
        "month": 9,
        "year": 1944
    },
    "coverageStartDate": {
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Page context
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    "ocrText": "Form 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full MULVILLE Vosophine AngeLA\nTel. No. GARRISON 0192\n(last)\n(first)\n(middle)\nIf married, give maiden name\nYear of birth Overtifty\nMarital status.\nSINGLE\nHusband's name\n(single, married, widowed, divorced)\nPermanent address N.E. Hospital For Woment Children Boston MASS\n(street)\n(city)\n(county) SUTHOLR\n(state)\nProbable address\nfor the next year As ABOVE\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States: 402Lindinst\nmas George R Shending ing (Sister) WELLESLEY HOLLS, MASS\n(name)\n(relationship)\n(address)\nD\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nNE. Hos potal FOR Mr Boston Mast\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nsomeen\nGovernment Service:\nArmy, 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\nNOTICE OF TRANSFER\n2. Have you taken any courses in a college or university?\nSENT. 10/17/43\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 what major CoursGs field was above study? Administration\nWhat languages, other than English, do you speak? French- not WELL\n6.\nAcademic year\n(OVER)\n4\n3\nX"
}