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Form 1045 ctc
Rev. Nov. 1941
AMERICAN RED CROSS
and
NURSING SERVICE
CLIVED JAN 21942
15
Name in full Schladweiler Rusa marie JAN 1 5 1942
Tel. No. main 8177-Et.687
(last)
(first)
(middle)
If married, give maiden name
nursenged ear of birth 1900
,
Marital status
Single
Husband's name
(single, married, widowed, divorced)
Permanent address
Box 117
madison .GQii Parle minnesota
(street)
(city)
(county)
(state)
Probable address
for
the next year 519 Beacon ST. S.E. Minneapolis Hennepin minnesota
(street)
(city)
(county)
(state)
Give name and address of nearest relative or friend in United States:
miss (name) maRgaRet Schladweiler (relationship)
Sister
madison, minnesota
(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
Industrial
Private duty
Other (write in)
attending the University of minine sotalon leave from C.R.C.)
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
Private duty
of present employment
Supervision
General Staff
Other (specify)
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?
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
2n spring 1942
In what major field was above study? Public It ealth hudsing
What languages, other than English, do you speak? german, a little Spanish & horwegian
Gat
Academic year
(OVER)
Page data
- Page
- 19
- Source index
- 0
- Type
- photo
- Media ID
- 23b2498258cb1539
- Size
- unknown
Document data
- ID
- 2662227
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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"coverageEndDate": {
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"logicalDate": "1945-08-13",
"month": 8,
"year": 1945
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"logicalDate": "1929-07-02",
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"ocrText": "Form 1045 ctc\nRev. Nov. 1941\nAMERICAN RED CROSS\nand\nNURSING SERVICE\nCLIVED JAN 21942\n15\nName in full Schladweiler Rusa marie JAN 1 5 1942\nTel. No. main 8177-Et.687\n(last)\n(first)\n(middle)\nIf married, give maiden name\nnursenged ear of birth 1900\n,\nMarital status\nSingle\nHusband's name\n(single, married, widowed, divorced)\nPermanent address\nBox 117\nmadison .GQii Parle minnesota\n(street)\n(city)\n(county)\n(state)\nProbable address\nfor\nthe next year 519 Beacon ST. S.E. Minneapolis Hennepin minnesota\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nmiss (name) maRgaRet Schladweiler (relationship)\nSister\nmadison, minnesota\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\nIndustrial\nPrivate duty\nOther (write in)\nattending the University of minine sotalon leave from C.R.C.)\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\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL?\nOne\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?\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\n2n spring 1942\nIn what major field was above study? Public It ealth hudsing\nWhat languages, other than English, do you speak? german, a little Spanish & horwegian\nGat\nAcademic year\n(OVER)"
}