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Form 1045 Rev. Nov. 1942 AMERICAN RED CROSS (IVA NURSING SERVICE 2-1-1- Paterson If you have changed your last name since Name in full SLACK, ANNIE (first) EARLI contacting us, please check here Tel. No. RAMSEY 194 (last) (middle) Date of birth 1885 If married, give maiden name Husband's name Marital status 5 (single, married, widowed, divorced) Permanent address TPAMSEY BeRGEN NEW JERSEY (street) / (city) (county) (state) for Probable the next year SAME AS ABOVE address (street) (city) (county) (state) and address of nearest relative or friend in United States: ARNOLD Give name MRS. H. A Sister 51 ShERWOOD AVE., YONKERS, (address) NEW YORK (name) (relationship) 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) HOME MAKER, PAYING GUESTS Government Service: Navy, Regular Veterans Administration Army, Regular 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) Business Private If not employed, what type of nursing would you prefer to render? Wherever I AM BEST FILLED How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No PRIVATE Schooleducation. BW4-I Before entering training, how many years did you attend COLLEGE? None Did you have a five-year course granting bachelor's degree? No AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have- Postgraduate course in a hospital Experience in hospital 1. A postgraduate course or experience in any of the following services? (at least 3 months) (at least 6 months) Communicable disease nursing (include tuberculosis) Psychiatric nursing V Operating room Anaesthesia 2. Have you had any courses in a college or university? Less than One Two Three Four Bachelor's Master's Ph.D. M. D. one academic year year years years degree degree degree degree years x In what major field was above study? French + ENGLISH 3. Training and experience in the public health field: Postgraduate 4 months or more Certificate Degree Experience 6 months J Have you ever held a position as an air hostess? Yes No How long? Have you ever had any other air experience? Yes No Specify (OVER)

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27
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Context sent to Scholar

Document identity
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Document source extras
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Page context
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    "ocrText": "Form 1045\nRev. Nov. 1942\nAMERICAN RED CROSS\n(IVA\nNURSING SERVICE\n2-1-1-\nPaterson\nIf you have changed your last name since\nName in full SLACK, ANNIE (first)\nEARLI\ncontacting us, please check here\nTel. No. RAMSEY 194\n(last)\n(middle)\nDate of birth 1885\nIf married, give maiden name\nHusband's name\nMarital status\n5\n(single, married, widowed, divorced)\nPermanent address TPAMSEY\nBeRGEN\nNEW JERSEY\n(street)\n/ (city)\n(county)\n(state)\nfor Probable the next year SAME AS ABOVE\naddress\n(street)\n(city)\n(county)\n(state)\nand address of nearest relative or friend in United States:\nARNOLD Give name MRS. H. A Sister 51 ShERWOOD AVE., YONKERS, (address) NEW YORK\n(name)\n(relationship)\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nHOME MAKER, PAYING GUESTS\nGovernment Service:\nNavy, Regular\nVeterans Administration\nArmy, Regular\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES Administration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral staff\nOther (specify) Business Private\nIf not employed, what type of nursing would you prefer to render? Wherever I AM BEST FILLED\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nPRIVATE Schooleducation. BW4-I\nBefore entering training, how many years did you attend COLLEGE? None\nDid you have a five-year course granting bachelor's degree? No\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nV\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\none academic year\nyear\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nyears\nx\nIn what major field was above study? French + ENGLISH\n3. Training and experience in the public health field: Postgraduate 4 months or more\nCertificate\nDegree\nExperience 6 months\nJ\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)"
}