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15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United
States or any of its allies, specifying which ally in eyery case and the branch of service in which enrolled.
arthus humana & Lester becuuse with the
Canadian any
16. (a) Are you a member of a religious sect or organization whose creed forbids you to participate in war in any
form? no If so, state its name
(b) Give names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.,
to which you have at any time belonged Aurerican Red Creas
17. (a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American
Red Cross, Y. M. C.A., K. of C., or other similar organizations? no
(b) If so, state : the name of any such organization
18. What university or college attended?
Year graduated
19. Can you speak French fluentlyh, no (a) If not, to what degree, if any? Fair
(b) Can you translate French easily? yes (c) If not, to what degree,
if
any?
four
20. What other foreign languages do you speak?
State extent of your knowledge of each
reach only which v-have
lunned contact with French People
21. As references, give names and addresses of three American citizens-got related to you
mr Q H Loruner w yucole Pa
22. (a) Kind Dr of service preferred H Syrang Migra Seavese prapture new york
mers Losee Cecelia Roberts deping In Hospeter hewyork
(b) What do you consider your qualifications particularly fitting you for this service? good health
and compandy the no family also my
desirs the as work lover cure
(c) Describe fully any experience you have ever had in the service of the Red Cross assided with
the management a70 Bad Hosp in Burnt Syra
23.
24. (a) Would you serve without pay and defray all of your necessary personal expenses? no
Would you enter foreign service? yes (a) In any country or countries where required? yes.
(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red
Cross:
Allowance for living abroad
Allowance for living prior to departure
Allowance or requisition for uniform and equipment
Allowance for transportation overseas to destination and return
V
Allowance for transportation in United States and return
(1)
(c)
If
Red Cross made adequate allowance for your expenses in-the service, as per 24 -b, what specific amount
25. If enrolled in service (a) name, earliest date you could take up work Feb 18-
would you require in addition? monthly salary
(b)
Minimum term for which
you would serve
/ year and as much longer sf necassary
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
Signed Kathryn m henuam
The foregoing application will not be acted upon by the Headquarters Bureau of Personnel unless the following re-
port, to be made by the Divisional Bureau, is completely filled out and is supported by all original supporting docamentary
data.
dow
REPORT.
To be filled out by Divisional Bureau upon the original, duplicate and triplicate copies
when the complete record is transmitted.
attantic
Division.
Date Jan 26,1920
In the opinion of the Divisional Bureau, the loyalty of applicant is approved the applicant is desirable and
Recommended for appointment to requisition. nurse
and has been found to be physically qualified by
alice Williams 784 Park are, new ynle City
lo esteb bas and ada ad
BUREAU OF PERSONNED nursity
Attante Division.
asiziv
By 7 Director.
MEMORANDUM.
To be filled out by the Headquarters Bureau
Date received at Headquarters Bureau.
Checked by
as to Qualifications.
as to Loyalty.
as to Physical Examination.
Recommendation of the Headquarters Bureau.
18.500
nov
(x)
agov
11
Malkeur
like
ilau
aporvang
nedW
10
donerd
sedw
ni
bas
make
919W
MOV
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"ocrText": "15. State the names of all relatives by blood or marriage nearer than second cousins in the war service of the United\nStates or any of its allies, specifying which ally in eyery case and the branch of service in which enrolled.\narthus humana & Lester becuuse with the\nCanadian any\n16. (a) Are you a member of a religious sect or organization whose creed forbids you to participate in war in any\nform? no If so, state its name\n(b) Give names and addresses of all patriotic, beneficial and social organizations based on race, nationality, etc.,\nto which you have at any time belonged Aurerican Red Creas\n17. (a) Are your father, husband, brother or son enrolled in, or about to enroll in foreign service of the American\nRed Cross, Y. M. C.A., K. of C., or other similar organizations? no\n(b) If so, state : the name of any such organization\n18. What university or college attended?\nYear graduated\n19. Can you speak French fluentlyh, no (a) If not, to what degree, if any? Fair\n(b) Can you translate French easily? yes (c) If not, to what degree,\nif\nany?\nfour\n20. What other foreign languages do you speak?\nState extent of your knowledge of each\nreach only which v-have\nlunned contact with French People\n21. As references, give names and addresses of three American citizens-got related to you\nmr Q H Loruner w yucole Pa\n22. (a) Kind Dr of service preferred H Syrang Migra Seavese prapture new york\nmers Losee Cecelia Roberts deping In Hospeter hewyork\n(b) What do you consider your qualifications particularly fitting you for this service? good health\nand compandy the no family also my\ndesirs the as work lover cure\n(c) Describe fully any experience you have ever had in the service of the Red Cross assided with\nthe management a70 Bad Hosp in Burnt Syra\n23.\n24. (a) Would you serve without pay and defray all of your necessary personal expenses? no\nWould you enter foreign service? yes (a) In any country or countries where required? yes.\n(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red\nCross:\nAllowance for living abroad\nAllowance for living prior to departure\nAllowance or requisition for uniform and equipment\nAllowance for transportation overseas to destination and return\nV\nAllowance for transportation in United States and return\n(1)\n(c)\nIf\nRed Cross made adequate allowance for your expenses in-the service, as per 24 -b, what specific amount\n25. If enrolled in service (a) name, earliest date you could take up work Feb 18-\nwould you require in addition? monthly salary\n(b)\nMinimum term for which\nyou would serve\n/ year and as much longer sf necassary\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nSigned Kathryn m henuam\nThe foregoing application will not be acted upon by the Headquarters Bureau of Personnel unless the following re-\nport, to be made by the Divisional Bureau, is completely filled out and is supported by all original supporting docamentary\ndata.\ndow\nREPORT.\nTo be filled out by Divisional Bureau upon the original, duplicate and triplicate copies\nwhen the complete record is transmitted.\nattantic\nDivision.\nDate Jan 26,1920\nIn the opinion of the Divisional Bureau, the loyalty of applicant is approved the applicant is desirable and\nRecommended for appointment to requisition. nurse\nand has been found to be physically qualified by\nalice Williams 784 Park are, new ynle City\nlo esteb bas and ada ad\nBUREAU OF PERSONNED nursity\nAttante Division.\nasiziv\nBy 7 Director.\nMEMORANDUM.\nTo be filled out by the Headquarters Bureau\nDate received at Headquarters Bureau.\nChecked by\nas to Qualifications.\nas to Loyalty.\nas to Physical Examination.\nRecommendation of the Headquarters Bureau.\n18.500\nnov\n(x)\nagov\n11\nMalkeur\nlike\nilau\naporvang\nnedW\n10\ndonerd\nsedw\nni\nbas\nmake\n919W\nMOV"
}