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Mumma, Reba Elizabeth #HD 11.911 rlh RED CROSS BADGE NUMBER AMERICAN RED CROSS NURSING SERVICES HD 11,911 MILITARY SERIAL NUMBER T ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED NAME (L'st, first, middle) Mumma, Reba Elizabeth TELEPHONE NO. IF MARRIED, GIVE MAIDEN NAME HUSBAND'S NAME La. 8677 a PERMANENT ADDRESS (Street, city, zone, county, state) PRESENT ADDRESS (Street, city, zone, county, state) 524 Crestview Road Columbus (2), Franklin ohio E NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES 524 Crestview Road Columbus (2), Franklin ohio = RELATIONSHIP Frank 3 Mumma 524 Crestview Rd, Columbus 2, Ohio 2 DATE OF BIRTH (Month, day, year) Father June 20 , 1916 Single Married a Separated Widowed Divorced WHAT LANGUAGES DO YOU SPEAK? 5 NAME OF COLLEGE OR English YES NO HIGH SCHOOL GRADUATE UNIVERSITY ATTENDED DEGREE OR LOCATION INCLUSIVE DATES DIPLOMA MAJOR Ohio State University . Columbus, Ohio -Jan. 1936. Dec. 1941 3.scin Educ. Nussing Educ c Public He ath Nurs ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? Ohio- TerritoryotHawai NURSES' ASSOCIATION? PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) Staff Nurse SERVICE (Medicine, surgery, etc.) NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED Instructive,Anstrict Nurse Assin. CITY STATE HEALTH Columbus ohio Good IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY VOLUNTEER SERVICE The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are willing and able to serve if called on wi thin the next 12 months. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS 1. American Teach home Red YES Cross NO - Columbus Ohio chapter - 74 E Gay street Attend an instructors' training program, 1f offered. (Funds/are available for nursing classes YES NO training home nursing instructors. See local chapter.) 2. Serve in case YES NO only in home community Attend disaster institutes, if of disaster YES NO In other communities 3. Teach nurse's offered, in preparation for service YES NO 4. Accept membership on chapter cóm- YES NO aide classes 5. Assist with other chapter YES NO I mittee should services be needed programs, as needed If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that you will be able to serve at some time in the future YES NO D IF UNABLE TO SERVE, GIVE MAJOR REASONS. DATE august 27, 1945 S GNATURE 8 - Reha E. mumma 11, YOUR VALUE As A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHFOLNESS IN KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE COMMITTEE NAMED BELOW. a ATTENTION Fill in committee name and address before sending questionnaire to nurse. - SECRETARY NURSE RECRUITMENT COMMITTEE NATIONAL HEADQUARTERS 9-15-46 c 78504M FORM 1045 Rev. July 1945

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    "ocrText": "Mumma, Reba Elizabeth #HD 11.911 rlh\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\nNURSING SERVICES\nHD 11,911\nMILITARY SERIAL NUMBER\nT\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (L'st, first, middle)\nMumma, Reba Elizabeth\nTELEPHONE NO.\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\nLa. 8677\na\nPERMANENT ADDRESS (Street, city, zone, county, state)\nPRESENT ADDRESS (Street, city, zone, county, state)\n524 Crestview Road Columbus (2), Franklin ohio\nE\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\n524 Crestview Road Columbus (2), Franklin ohio\n=\nRELATIONSHIP\nFrank 3 Mumma 524 Crestview Rd, Columbus 2, Ohio\n2\nDATE OF BIRTH (Month, day, year)\nFather\nJune 20 , 1916\nSingle\nMarried\na\nSeparated\nWidowed\nDivorced\nWHAT LANGUAGES DO YOU SPEAK?\n5\nNAME OF COLLEGE OR\nEnglish\nYES\nNO\nHIGH SCHOOL GRADUATE\nUNIVERSITY ATTENDED\nDEGREE OR\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nOhio State University . Columbus, Ohio -Jan. 1936. Dec. 1941 3.scin Educ. Nussing Educ\nc Public He ath Nurs\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nOhio- TerritoryotHawai\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nStaff Nurse\nSERVICE (Medicine, surgery, etc.)\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nInstructive,Anstrict Nurse Assin.\nCITY\nSTATE\nHEALTH\nColumbus\nohio\nGood\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are willing and able to\nserve if called on wi thin the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\n1.\nAmerican Teach home Red YES Cross NO - Columbus Ohio chapter - 74 E Gay street\nAttend an instructors' training program, 1f offered. (Funds/are available for\nnursing classes\nYES\nNO\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nof disaster\nYES\nNO\nIn other communities\n3. Teach nurse's\noffered, in preparation for service\nYES\nNO\n4.\nAccept membership on chapter cóm-\nYES\nNO\naide classes\n5. Assist with other chapter\nYES\nNO\nI\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nyou will be able to serve at some time in the future\nYES\nNO\nD\nIF UNABLE TO SERVE, GIVE MAJOR REASONS.\nDATE\naugust 27, 1945\nS GNATURE\n8\n-\nReha E. mumma\n11,\nYOUR VALUE As A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHFOLNESS IN\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\na\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\n-\nSECRETARY\nNURSE RECRUITMENT\nCOMMITTEE\nNATIONAL HEADQUARTERS\n9-15-46 c\n78504M\nFORM 1045 Rev. July 1945"
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