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FORM No. 469-(1)
10264
THE AMERICAN RED CROSS
ENROLLMENT FORM
From
Nursing Department
To
BUREAU OF PERSONNEL,
American Red Cross Headquarters,
Date
23-18
4 Place de la Concorde, Paris, France.
Approved
1. Name
Ritterhouse, Valerie, 10667
2. Address
403 West 115th St. Now York City
3. Temporary address, if any
4. Going to what countries
Italy,
5. Nature of work
Nord ng
6. Suggested rank
7. Length of stay (six months or over?)
1 year or more
8. Proposed approximate date of departure
7th,
9. Cable number in compliance with which above is being sent
153
10. Is appointee volunteer?
No
11. If not volunteer, what salary per month is promised? $ 60.00
12. To begin
May 7th
13. What allowance, if any, for transportation in United States? $
14. What allowance, if any, for transportation (steamship)? $
yes,
ways
15. What allowance, if any, for living expenses prior to departure? $
none
16. What allowance, if any, for uniform equipment? $
yes, regulation equipment
17. What allowance, if any, for living expenses abroad? $
yes, regulation allowance
18. Is there to be an assignment of part or all of salary?
19. Has the proper form been sent to the Life Extension Institute?
INSTRUCTIONS TO APPLICANT.
Where allowances mentioned above are to be paid in America, payment will be made at the New York office,
222 Fourth Avenue, near 18th Street.
In case you wish to assign part of your salary to any one in the United States, please indicate such assignment
in duplicate on the attached forms and return to the Bureau of Personnel, American Red Cross, Washington, D. C.
This is the only form that can be accepted for these assignments.
Questions pertaining to rank are determined entirely in the Paris office. Any reference to rank in the above
is a suggestion only.
I have noted carefully the above.
(Signed)
NOTE.-Signature should not be affixed until applicant has been accepted, when this document will be forwarded to applicant for signa-
ture, by Bureau of Personnel, American Red Cross, Washington, D. C., to whom it should be returned.
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"ocrText": "FORM No. 469-(1)\n10264\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nFrom\nNursing Department\nTo\nBUREAU OF PERSONNEL,\nAmerican Red Cross Headquarters,\nDate\n23-18\n4 Place de la Concorde, Paris, France.\nApproved\n1. Name\nRitterhouse, Valerie, 10667\n2. Address\n403 West 115th St. Now York City\n3. Temporary address, if any\n4. Going to what countries\nItaly,\n5. Nature of work\nNord ng\n6. Suggested rank\n7. Length of stay (six months or over?)\n1 year or more\n8. Proposed approximate date of departure\n7th,\n9. Cable number in compliance with which above is being sent\n153\n10. Is appointee volunteer?\nNo\n11. If not volunteer, what salary per month is promised? $ 60.00\n12. To begin\nMay 7th\n13. What allowance, if any, for transportation in United States? $\n14. What allowance, if any, for transportation (steamship)? $\nyes,\nways\n15. What allowance, if any, for living expenses prior to departure? $\nnone\n16. What allowance, if any, for uniform equipment? $\nyes, regulation equipment\n17. What allowance, if any, for living expenses abroad? $\nyes, regulation allowance\n18. Is there to be an assignment of part or all of salary?\n19. Has the proper form been sent to the Life Extension Institute?\nINSTRUCTIONS TO APPLICANT.\nWhere allowances mentioned above are to be paid in America, payment will be made at the New York office,\n222 Fourth Avenue, near 18th Street.\nIn case you wish to assign part of your salary to any one in the United States, please indicate such assignment\nin duplicate on the attached forms and return to the Bureau of Personnel, American Red Cross, Washington, D. C.\nThis is the only form that can be accepted for these assignments.\nQuestions pertaining to rank are determined entirely in the Paris office. Any reference to rank in the above\nis a suggestion only.\nI have noted carefully the above.\n(Signed)\nNOTE.-Signature should not be affixed until applicant has been accepted, when this document will be forwarded to applicant for signa-\nture, by Bureau of Personnel, American Red Cross, Washington, D. C., to whom it should be returned."
}