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Form 1045 S Rev. Nov. 1942 AMERICAN RED CROSS Central NURSING SERVICE 2 RE, Bugen If you have changed your last name since contacting us, please check here. Name in full S-mythe (last) Era (first) Louise (middle) Tel. No. Hack 2-6096W - If married, give maiden name Date of birth may 30-1878 Marital status Husband's name Passave (street) St. Harkinsack (city) (county) Bergen rent Jersey (state) (single, married, widowed, divorced) Permanent address Probable address for the next year above (street) (city) (county) (state) Give name his grace address of nearest millar relative or friend friend in United States: 40 Passaic Hacksmack n.J and (name) (relationship) (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 Bursan maternald bhild Health St. Dept. Health Hanton hit Industrial Private duty Other (write in) Government Service: Army, Regular Navy, Regular Veterans Administration Reserve Reserve Children's Bureau U.S.P.H. Service U.S. MAJOR RESPONSIBILITIES Administration Private duty of present employment Supervision staff Other (specify) If not employed, what type of nursing prefer render? How years did you attend HIGH SCHOOL? One Two h Three Four Graduated Yes No Before entering training, years did you attend COLLEGE? - Did you have a five-year bachelor's degree? m AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have- Postgraduate course in a hospital Experience in 1. A postgraduate course or experience in any of the following services? (at least 3 months) hospital (at least 6 months) Communicable disease nursing (include tuberculosis) Psychiatric nursing Operating room Anaesthesia 2. Have you had any courses in a college or university? than One Two Three Four Bachelor's Master's Ph.D. M. D. one academic year year years years years degree degree degree degree In what was above study? Public Herallte 3. the public health field: Postgraduate 4 months or more Degree Experience 6 months 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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0
Type
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Media ID
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ID
2662280
Core
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Type
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DTO data
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Document identity
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Document source metadata
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Document source extras
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    "naId": 2662280,
    "coverageEndDate": {
        "day": 5,
        "logicalDate": "1945-09-05",
        "month": 9,
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Page context
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    "ocrText": "Form 1045\nS\nRev. Nov. 1942\nAMERICAN RED CROSS\nCentral\nNURSING SERVICE\n2 RE,\nBugen\nIf you have changed your last name since\ncontacting\nus,\nplease\ncheck\nhere.\nName in full\nS-mythe (last) Era (first) Louise (middle)\nTel. No. Hack 2-6096W\n-\nIf married, give maiden name\nDate of birth may 30-1878\nMarital status\nHusband's name\nPassave (street) St. Harkinsack (city) (county) Bergen rent Jersey (state)\n(single, married, widowed, divorced)\nPermanent address\nProbable address\nfor the next year\nabove\n(street)\n(city)\n(county)\n(state)\nGive\nname\nhis\ngrace address of nearest millar relative or friend friend in United States: 40 Passaic Hacksmack n.J\nand\n(name)\n(relationship)\n(address)\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT\nEMPLOYMENT\n(check\nbelow)\nName\nof\nagency\nor\ninstitution\nwith\nwhich\nemployed\nInstitutional\nPublic\nhealth\nBursan maternald bhild Health St. Dept. Health Hanton hit\nIndustrial\nPrivate\nduty\nOther\n(write\nin)\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H.\nService\nU.S.\nMAJOR RESPONSIBILITIES\nAdministration\nPrivate duty\nof present employment\nSupervision\nstaff\nOther (specify)\nIf\nnot\nemployed,\nwhat\ntype\nof\nnursing\nprefer\nrender?\nHow\nyears\ndid\nyou\nattend\nHIGH\nSCHOOL?\nOne\nTwo\nh\nThree\nFour\nGraduated\nYes\nNo\nBefore entering training, years did you attend COLLEGE? -\nDid\nyou\nhave\na\nfive-year\nbachelor's\ndegree?\nm\nAFTER\nGRADUATION\nFROM\nYOUR\nSCHOOL\nOF\nNURSING,\ndid\nyou\nhave-\nPostgraduate course\nin a hospital\nExperience\nin\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\nhospital\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nthan\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.\nD.\none\nacademic\nyear\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn\nwhat\nwas\nabove\nstudy?\nPublic\nHerallte\n3.\nthe\npublic\nhealth\nfield:\nPostgraduate\n4\nmonths\nor\nmore\nDegree\nExperience 6 months\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)"
}