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0
&
N
et
e
11,
FORM 1045
Fr
OCT. 1943
AMERICAN RED CROSS
a
NURSING SERVICE
S
Mrs
TS,
ANNUAL QUESTIONNAIRE-1944
anY
Red Cross
If you have changed your last name
Badge number 1982
since contacting us, please check here.
Fl
Name in
full I neiel (last) Frances (first) Jane (middle)
Tel.
If
married, give maiden name Landly, Frankes Jane
Husband's name Edmund At
Date of birth Aug21,1880
Marital status
Permanent address (single, 415 Washing/m (city) am Brookleya, n.y.
married, widowed, divorçed)
(street)
(county)
(state)
Present address
same
(street)
(city)
(county)
(state)
Notify national headquarters immediately if you change your address.
Give name and address of nearest relative or friend in the United States:
5
Edmund F.Cheice Susband
5
e
(name)
(address)
(relationship)
Are you employed in nursing at the present time? Yes
No
a
If employed, check the type of work you are doing and fill in below the title of your position and the name
and address of the agency or institution:
L
Institutional
Public Health
Industrial
Private Duty
Other
E
If not employed, what type of nursing would you prefer to render?
IT
IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND
ANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX
AVAILABILITY FOR SERVICE WITH THE ARMED FORCES
Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.
For assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She
may be single or married, but if married she must have no dependents under 14 years of age.
If eligible and not already in service with the armed forces, are you:
Available in the near future?
silt
Immediately available?
Not available, for the following reason ? Lestory age (specify) 11
(specify date)
Do you have any dependents under 14 years of agé? Yes
No
AVAILABILITY FOR SERVICE WITH CIVILIANS
If qualified and not already doing so, will you be available:
To teach Red Cross Home Nursing classes?
Guilton
To teach volunteer nurse's aides?
To take a Red Cross emergency assignment?
one
to
To serve overseas caring for civilians?
Have served with the Red Cross in disaster?
If yes, you specify ever type of disaster 50th Annovering a Yes Battle No Pa.
DEC
14 issuring Service world nest - France. 1918-19-
2
Page data
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- 0
- Type
- photo
- Media ID
- e9785472a4b4b5b8
- Size
- unknown
Document data
- ID
- 2662071
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "Z\n0\n&\nN\net\ne\n11,\nFORM 1045\nFr\nOCT. 1943\nAMERICAN RED CROSS\na\nNURSING SERVICE\nS\nMrs\nTS,\nANNUAL QUESTIONNAIRE-1944\nanY\nRed Cross\nIf you have changed your last name\nBadge number 1982\nsince contacting us, please check here.\nFl\nName in\nfull I neiel (last) Frances (first) Jane (middle)\nTel.\nIf\nmarried, give maiden name Landly, Frankes Jane\nHusband's name Edmund At\nDate of birth Aug21,1880\nMarital status\nPermanent address (single, 415 Washing/m (city) am Brookleya, n.y.\nmarried, widowed, divorçed)\n(street)\n(county)\n(state)\nPresent address\nsame\n(street)\n(city)\n(county)\n(state)\nNotify national headquarters immediately if you change your address.\nGive name and address of nearest relative or friend in the United States:\n5\nEdmund F.Cheice Susband\n5\ne\n(name)\n(address)\n(relationship)\nAre you employed in nursing at the present time? Yes\nNo\na\nIf employed, check the type of work you are doing and fill in below the title of your position and the name\nand address of the agency or institution:\nL\nInstitutional\nPublic Health\nIndustrial\nPrivate Duty\nOther\nE\nIf not employed, what type of nursing would you prefer to render?\nIT\nIS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She\nmay be single or married, but if married she must have no dependents under 14 years of age.\nIf eligible and not already in service with the armed forces, are you:\nAvailable in the near future?\nsilt\nImmediately available?\nNot available, for the following reason ? Lestory age (specify) 11\n(specify date)\nDo you have any dependents under 14 years of agé? Yes\nNo\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf qualified and not already doing so, will you be available:\nTo teach Red Cross Home Nursing classes?\nGuilton\nTo teach volunteer nurse's aides?\nTo take a Red Cross emergency assignment?\none\nto\nTo serve overseas caring for civilians?\nHave served with the Red Cross in disaster?\nIf yes, you specify ever type of disaster 50th Annovering a Yes Battle No Pa.\nDEC\n14 issuring Service world nest - France. 1918-19-\n2"
}