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Bureau of Nursing Service
APPLICANT'S REFERENCE
Fom 599
5
THE AMERICAN RED CROSS
Bureau of Personnel
5
(Here insert with rubber Bureau of Personnel)
44 EAST 28RD ST.
a
CITY.
REFERENCE
to
Date aper 291919
1
C
To mm anna max well
Address Prestytarian Hosp N.4.C.
Sir or Madam:
I
The person concerning whom this inquiry is made has applied for foreign service in The American Red
Cross. As an aid to it, in the performance of its duty to obtain accurate information regarding the applicant's
patriotism and loyalty to the United States, you are requested to answer all of the following questions (or to
state after any question which you do not answer your reason for not doing so). Your replies to these questions
5
will be regarded by The American Red Cross as confidential and will not be disclosed either to the applicant
or to the persons other than government officials, who, in the performance of a public duty, may be called upon
to examine them.
Florence m. Poluctou
Director, Bureau of Personnel
In Re Application of miss agnes m Sheffered
nursing service
M
A. To Establish the Identity of the Person Filling Out this Form.
&
(A woman answering the following questions may, as a means of self-identification, answer Nos. 2, 3 and 4 as
1
regards her husband, father, or other near male relative. In so answering, she must indicate the relation-
ship.)
c
1. What is your name and address?
anna C. Waynell
41 E.70 St. New York City
2. What is your business or profession ?
Hursing
3. With what firm or corporation are you associated and what office in the company do you hold?
Dinetor, Schoolof Hursing, Preshyterian Huspital, u.y.c
4. State any present or former business or professional associations which you have had, offices you have held
and any public services you have rendered
B. To Establish the Loyalty of the Applicant.
5. How long have you known the applicant? Eleven yrs.
6. What has been the character and extent of your acquaintance with the applicant (business, professional,
social) applicant is a graduate of Treshyterian Hosp Schwol of lunsing, '11
(
7.
Have you been asked to endorse the applicant's loyalty, and if so, by whom and under what circumstances?
2
no
9,
6
8. What is the general reputation of the applicant,
quillent
6
(a) for character and integrity
(b) for loyalty to the United States.
suturely loyal
9.
What public service, if any, in connection with the war (i. e., Liberty Loan, Red Cross, Y. M. C. A., War
Savings Stamps, etc., etc.) has been rendered by th applicant
-
Page data
- Page
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Document data
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- 2662253
- Core
- doc
- Type
- document
DTO data
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"ocrText": "Bureau of Nursing Service\nAPPLICANT'S REFERENCE\nFom 599\n5\nTHE AMERICAN RED CROSS\nBureau of Personnel\n5\n(Here insert with rubber Bureau of Personnel)\n44 EAST 28RD ST.\na\nCITY.\nREFERENCE\nto\nDate aper 291919\n1\nC\nTo mm anna max well\nAddress Prestytarian Hosp N.4.C.\nSir or Madam:\nI\nThe person concerning whom this inquiry is made has applied for foreign service in The American Red\nCross. As an aid to it, in the performance of its duty to obtain accurate information regarding the applicant's\npatriotism and loyalty to the United States, you are requested to answer all of the following questions (or to\nstate after any question which you do not answer your reason for not doing so). Your replies to these questions\n5\nwill be regarded by The American Red Cross as confidential and will not be disclosed either to the applicant\nor to the persons other than government officials, who, in the performance of a public duty, may be called upon\nto examine them.\nFlorence m. Poluctou\nDirector, Bureau of Personnel\nIn Re Application of miss agnes m Sheffered\nnursing service\nM\nA. To Establish the Identity of the Person Filling Out this Form.\n&\n(A woman answering the following questions may, as a means of self-identification, answer Nos. 2, 3 and 4 as\n1\nregards her husband, father, or other near male relative. In so answering, she must indicate the relation-\nship.)\nc\n1. What is your name and address?\nanna C. Waynell\n41 E.70 St. New York City\n2. What is your business or profession ?\nHursing\n3. With what firm or corporation are you associated and what office in the company do you hold?\nDinetor, Schoolof Hursing, Preshyterian Huspital, u.y.c\n4. State any present or former business or professional associations which you have had, offices you have held\nand any public services you have rendered\nB. To Establish the Loyalty of the Applicant.\n5. How long have you known the applicant? Eleven yrs.\n6. What has been the character and extent of your acquaintance with the applicant (business, professional,\nsocial) applicant is a graduate of Treshyterian Hosp Schwol of lunsing, '11\n(\n7.\nHave you been asked to endorse the applicant's loyalty, and if so, by whom and under what circumstances?\n2\nno\n9,\n6\n8. What is the general reputation of the applicant,\nquillent\n6\n(a) for character and integrity\n(b) for loyalty to the United States.\nsuturely loyal\n9.\nWhat public service, if any, in connection with the war (i. e., Liberty Loan, Red Cross, Y. M. C. A., War\nSavings Stamps, etc., etc.) has been rendered by th applicant\n-"
}