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Smith, Laurine Alva

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FORM 1045 AMERICAN RED CROSS 0 QUESTIONNAIRES DESTROYED REV. DEC. 1939 NATIONAL HEADQUARTERS WASHINGTON, D. C. Smith Laurine alva Name in full (SURNAME) (FIRST) (MIDDLE) Husband's name Permanent address Hudsonville (CITY) T altoura (COUNTY) Michigan (STREET) (STATE) Probable for the next address year Butterworth Hosp Grand Rapula Kent 1 midnya (STREET) (CITY) (COUNTY) STATE) Telephone number 81281 (EXCHANGE) (NO.) Nearest relative or friend in United States, through whom you may be communicated with in an emergency: mrs Harriet Smith mother + (NAME) (RELATIONSHIP) Hudsonville , michigan (STREET) (CITY) (STATE) PRESENT WORK (check below) Name of agency or institution with which employed Institutional Butterworth Hospital Public Health Private duty Other (write in) Government Service: Army U.S.P.H.Service Veterans Administration Navy U.S. Indian Service Children's Bureau IF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (write in) Would you respond to an emergency call in event of local or national emergency, such as epidemic, flood, war, etc. yes (Granted of course that you could be released from present employment) Present physical condition Excellent Would you be interested in teaching classes in Home Hygiene and Care of the Sick? no Are you a member of the American Nurses' Association? yes If not, why have you allowed your membership to lapse? Badge No. 71,305 Current date 13-29-41 Name of Committee grand Rayaids midugan Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enrollment will be removed from our active files.

Page data

Page
104
Source index
0
Type
photo
Media ID
a7d5c40baccff91a
Size
unknown

Document data

ID
2662275
Core
doc
Type
document
DTO data 
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Context sent to Scholar

Document identity 
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Document source extras 
{
    "url": "https://catalog.archives.gov/id/2662275",
    "naId": 2662275,
    "coverageEndDate": {
        "day": 25,
        "logicalDate": "1941-01-25",
        "month": 1,
        "year": 1941
    },
    "coverageStartDate": {
        "day": 31,
        "logicalDate": "1938-08-31",
        "month": 8,
        "year": 1938
    },
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Page context 
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    "ocrText": "FORM 1045\nAMERICAN RED CROSS\n0 QUESTIONNAIRES DESTROYED\nREV. DEC. 1939\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nSmith\nLaurine\nalva\nName in full\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address\nHudsonville (CITY) T altoura (COUNTY) Michigan\n(STREET)\n(STATE)\nProbable\nfor the\nnext address year Butterworth Hosp Grand Rapula Kent 1 midnya\n(STREET)\n(CITY)\n(COUNTY)\nSTATE)\nTelephone number\n81281\n(EXCHANGE)\n(NO.)\nNearest relative or friend in United States, through whom you may be communicated with in\nan emergency: mrs Harriet Smith\nmother\n+\n(NAME)\n(RELATIONSHIP)\nHudsonville , michigan\n(STREET)\n(CITY)\n(STATE)\nPRESENT WORK (check below)\nName of agency or institution with which employed\nInstitutional\nButterworth Hospital\nPublic Health\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H.Service\nVeterans Administration\nNavy\nU.S. Indian Service\nChildren's Bureau\nIF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nWould you respond to an emergency call in event of local or national emergency, such as\nepidemic, flood, war, etc. yes\n(Granted of course that you could be released from present employment)\nPresent physical condition Excellent\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? no\nAre you a member of the American Nurses' Association? yes\nIf not, why have you allowed your membership to lapse?\nBadge No. 71,305\nCurrent date 13-29-41\nName\nof Committee grand Rayaids midugan\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files."
}