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O FORM 1045 0 REV. JAN 1941 AMERICAN RED CROSS E NATIONAL HEADQUARTERS a WASHINGTON, D. c. Name in full Olson Edith houtta Year of Birth 1898 + (SURNAME) (FIRST) (MIDDLE) 5 Husband's name Permanent address 1502-15 are momor queen Wis (STREET) (CITY) (COUNTY) (STATE) Probable address same 0 for the next year (STREET) (CITY) (COUNTY) (STATE) a Telephone number 481 office at courthouse) e (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: mis Emily Reed (aunt) Cakato, munnssota a (NAME) (RELATIONSHIP) (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public Health X queen County Board Private duty Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR 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 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, am county chairman 3 Present physical condition good conthis Badge No. 38755 Current date Feb of of Committee madison, wis 9 Name 5 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.

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    "ocrText": "O\nFORM 1045\n0\nREV. JAN 1941\nAMERICAN RED CROSS\nE\nNATIONAL HEADQUARTERS\na\nWASHINGTON, D. c.\nName in full\nOlson\nEdith houtta Year of Birth 1898\n+\n(SURNAME)\n(FIRST)\n(MIDDLE)\n5\nHusband's name\nPermanent address\n1502-15 are momor\nqueen\nWis\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nsame\n0\nfor the next year\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\na\nTelephone number\n481 office at courthouse)\ne\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nmis Emily Reed (aunt) Cakato, munnssota\na\n(NAME)\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nX\nqueen County Board\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR ESPONSIBILITIES Adminis\nSuper-\nTeach\nGeneral\nPrivate\nOther\nof present employment tration\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\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, am\ncounty chairman\n3\nPresent physical condition\ngood\nconthis\nBadge No. 38755\nCurrent date Feb\nof\nof Committee madison, wis\n9\nName\n5\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."
}