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- Form 1045 Rev. Nov. 1941 AMERICAN RED CROSS NURSING SERVICE E a Name in full Olson, Edith horetta Tel. No. - (last) (first) (middle) + If married, give maiden name - Year of birth 1898 5 Marital status single Husband's name (single, married, widowed, divorced) Permanent address (street) (city) (county) (state) for Probable the next address year c/o Am RudClass, midwest Division 709 Washington Que, St Louis, no. (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: Mrs. Emily Reed aunt Cokato, mism. (name) (relationship) (address) Are you employed in nursing at the present time? Yes No PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public health Will good duty Jan 5. th with midwest Division are Industrial Private duty Other (write in) 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 of present employment Supervision General Staff Other (specify) County nurse Private duty 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 2. Have you taken any courses in a college or university? 3 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 plus of In what major field was above study? public health nursing 2 a What languages, other than English, do you speak? Swedish 5 *Academic year K (OVER)

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    "ocrText": "-\nForm 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nE\na\nName in full\nOlson, Edith\nhoretta\nTel. No.\n-\n(last)\n(first)\n(middle)\n+\nIf married, give maiden name -\nYear of birth\n1898\n5\nMarital status\nsingle\nHusband's name\n(single, married, widowed, divorced)\nPermanent address\n(street)\n(city)\n(county)\n(state)\nfor Probable the next address year c/o Am RudClass, midwest Division 709 Washington Que, St Louis, no.\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nMrs. Emily Reed\naunt\nCokato, mism.\n(name)\n(relationship)\n(address)\nAre you employed in nursing at the present time? Yes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nWill good duty Jan 5. th with midwest Division are\nIndustrial\nPrivate duty\nOther (write in)\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nof present employment\nSupervision\nGeneral Staff\nOther (specify) County nurse\nPrivate duty\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\n2. Have you taken any courses in a college or university?\n3\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\nplus\nof\nIn what major field was above study? public health nursing\n2\na\nWhat languages, other than English, do you speak? Swedish\n5\n*Academic year\nK\n(OVER)"
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