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Stebbins, Mary E. (2 of 2)

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FORM 1045 REV. 4-4-38 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. the Dear Red Cross Nurse: The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Chairman or Nurses should report at once to the Mabel Beattie Secretary. Secretary of the Local Committee under which they are enrolled. Do not forget Kansas City, Mo. Local Committee. the address of the Secretary. Name in full Stebbins, Mary E. If married, give husband's name Permanent address Lebanon. Missouri (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year 4711 Grand or 1101 Waldheim Building. Kansas City .Mo (STREET. ETC.) Telephone No. Office, Ha. 7664: House Logan 6476. Kansas. City.-Mo- (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Grace W. Stebbins. 4711 Grand. Kansas City. Missouri. Tel. Logan 6476 Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Exdcutive Secretary. Mo .State Nurses' Association. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? No. Have you ever been? Yes Would you like to teach Red Cross classes? Not free to do so At this time. Indicate present physical condition Grand Would you respond to an emergency call in event of epidemic, disaster, war, etc.' Yes. Badge No. 1690 Current date April 3,1939 NOTE. If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

Page data

Page
17
Source index
0
Type
photo
Media ID
7045b9e12d189f78
Size
unknown

Document data

ID
2662306
Core
doc
Type
document
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Context sent to Scholar

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    "ocrText": "FORM 1045\nREV. 4-4-38\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nthe\nDear Red Cross Nurse:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nChairman or\nNurses should report at once to the\nMabel Beattie\nSecretary.\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\nKansas City, Mo.\nLocal Committee.\nthe address of the Secretary.\nName in full\nStebbins, Mary E.\nIf married, give husband's name\nPermanent address\nLebanon. Missouri\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year 4711 Grand or 1101 Waldheim Building. Kansas City .Mo\n(STREET. ETC.)\nTelephone No.\nOffice, Ha. 7664: House Logan 6476.\nKansas. City.-Mo-\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nGrace W. Stebbins. 4711 Grand. Kansas City. Missouri. Tel. Logan 6476\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nExdcutive Secretary. Mo .State Nurses' Association.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nNo.\nHave you ever been?\nYes\nWould you like to teach Red Cross classes? Not free to\ndo\nso\nAt this time.\nIndicate present physical condition\nGrand\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.' Yes.\nBadge No.\n1690\nCurrent date April 3,1939\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}