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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

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ID
2662227
Core
doc
Type
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Document identity
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    "coverageEndDate": {
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        "logicalDate": "1945-08-13",
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Page context
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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)"
}