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M
FORM 1045
REV. JAN 1941
e
AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D. C.
Name in full MULVILLE Josephine AngeLA
Year of Birth 1881
(SURNAME)
(FIRST)
(MIDDLE)
Husband's name
Permanent MASS
Dirruek St. ROYGURY Boston
(STREET)
(CITY)
(COUNTY)
(STATE)
Probable address
for the next year
As ALOVE
(STREET)
(CITY)
(COUNTY)
(STATE)
Telephone number garrison 0192
(EXCHANGE)
(NO.)
D
Give name and address of nearest relative or friend in United States:
MRS. GEORGE (NAME) R grandman, Sister (RELATIONSHIP) 402 Linden St, WELLESLEY (ADDRESS) HILLS MASS
PRESENT EMPLOYMENT (check below)
Name of agency or institution with which employed
Institutional
NEW EnglAnd Hospital for
Public Health
women 1 Chedden
Private duty
Other (write in)
Government Service: Army
U.S.P.H. Service
Veterans Administration
Navy
U.S.Indian Service
Children's Bureau
MAJOR R ESPONSIBILITIES 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 InCASE 07 GMERSEWAY, would Donsider AS nurse
At the present time would you
Date
accept assignment to the Army? Yes
No
Navy? Yes
No
available
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 classes in Home Hygiene and Care of the Sick? NO
Present physical condition EXCELLENT
4
3
Badge No. 64529
Current date y1241
6.
Name of Committee mo Branch Bactors' mass.
4
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.
3
X
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- Type
- photo
- Media ID
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Document data
- ID
- 2662007
- Core
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- Type
- document
DTO data
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"ocrText": "M\nFORM 1045\nREV. JAN 1941\ne\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName in full MULVILLE Josephine AngeLA\nYear of Birth 1881\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent MASS\nDirruek St. ROYGURY Boston\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nfor the next year\nAs ALOVE\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number garrison 0192\n(EXCHANGE)\n(NO.)\nD\nGive name and address of nearest relative or friend in United States:\nMRS. GEORGE (NAME) R grandman, Sister (RELATIONSHIP) 402 Linden St, WELLESLEY (ADDRESS) HILLS MASS\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nNEW EnglAnd Hospital for\nPublic Health\nwomen 1 Chedden\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR R ESPONSIBILITIES Adminis-\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment\ntration\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 InCASE 07 GMERSEWAY, would Donsider AS nurse\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\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 you be interested in teaching classes in Home Hygiene and Care of the Sick? NO\nPresent physical condition EXCELLENT\n4\n3\nBadge No. 64529\nCurrent date y1241\n6.\nName of Committee mo Branch Bactors' mass.\n4\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.\n3\nX"
}