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N u 12. (a) Have you ever been physically examined for war service or life insurance? (b) If so, state when, where, and, if possible, the name and address of the examiner Dr quert four yes : St hukes Hospital n.y. (c) Were you accepted or rejected? yes 13 What previous military service have you had? State name of organization with which you were enrolled, and in what branch of service, and dates of service Army nurse Corps yes (A 14. (a) Would you enter foreign service? + (b) In any country or countries where required? yes 15. State briefly familiarity with foreign countries by residence or travel none n e 16. Advise what foreign languages you speak, read or translate, and degree of fluency home 17. Give names and address of all patriotic, beneficial and social organizations to which you belong am, hefi. Pa.R. am hurs assec. M 18. (a) Kind of service preferred nursing (b) What do you consider your qualifications particularly fitting you for this service? (b graduate nurse 1 you 19. lf an applicant for medical or dental service, state (a) What hospital service as interne ced e (b) What hospital appointments at present a (c) How long have you been in practice? (d) In what State are you licensed to practice? is (e) Have you specialized in any branch? If so, what? (f) Are you a member of Medical Officers' Reserve Corps? Rank 20. (a) Would you serve without pay and defray all your necessary personal expenses? (b) If unable to serve as full lf-sustaining volunteer, check following items you would require met by Red Cross: Living expenses abroad (in cases of nurses and nurses' aides) Living expenses prior to departure. Uniform and equipment, if any required Transportation in United States and return Transportation overseas and return 6% Opic (c) If Red Cross made adequate allowance for your expenses in the service, as per 20-b, what specific amount would you require in additon? (b) Length of term for which you could serve (Subject to earlier termination in discretion of American Red Cross. Nurses must agree to serve one year, if required that long.) year I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief. (Signed) m.huno just information VII spese pa 04 All po nbow BEMAICE VWEHICHA BED CSO22

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0
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    "ocrText": "N\nu\n12. (a) Have you ever been physically examined for war service or life insurance?\n(b) If so, state when, where, and, if possible, the name and address of the examiner Dr quert four\nyes :\nSt hukes Hospital n.y.\n(c) Were you accepted or\nrejected? yes\n13 What previous military service have you had? State name of organization with which you were enrolled, and in what branch of service,\nand dates of service\nArmy nurse Corps\nyes\n(A\n14. (a) Would you enter foreign service?\n+\n(b) In any country or countries where required?\nyes\n15. State briefly familiarity with foreign countries by residence or travel\nnone\nn\ne\n16. Advise what foreign languages you speak, read or translate, and degree of fluency\nhome\n17. Give names and address of all patriotic, beneficial and social organizations to which you belong am, hefi.\nPa.R. am hurs assec.\nM\n18. (a) Kind of service preferred\nnursing\n(b) What do you consider your qualifications particularly fitting you for this service?\n(b\ngraduate nurse\n1\nyou\n19. lf an applicant for medical or dental service, state\n(a) What hospital service as interne\nced\ne\n(b) What hospital appointments at present\na\n(c) How long have you been in practice?\n(d) In what State are you licensed to practice?\nis\n(e) Have you specialized in any branch? If so, what?\n(f) Are you a member of Medical Officers' Reserve Corps?\nRank\n20.\n(a) Would you serve without pay and defray all your necessary personal expenses?\n(b) If unable to serve as full lf-sustaining volunteer, check following items you would require met by Red Cross:\nLiving expenses abroad (in cases of nurses and nurses' aides)\nLiving expenses prior to departure.\nUniform and equipment, if any required\nTransportation in United States and return\nTransportation overseas and return\n6% Opic\n(c) If Red Cross made adequate allowance for your expenses in the service, as per 20-b, what specific amount would you require in additon?\n(b) Length of term for which you could serve\n(Subject to earlier termination in discretion of American Red Cross. Nurses must agree to serve one year, if required that long.)\nyear\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\n(Signed) m.huno\njust\ninformation\nVII spese pa 04 All po nbow\nBEMAICE\nVWEHICHA BED CSO22"
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