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IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND CHECK THE APPROPRIATE BOX AVAILABILITY FOR SERVICE WITH THE ARMED FORCES Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be- Physically fit, single, and under 40. M For assignment to the Army Nurse Corps, a Red Cross nurse must be- Physically fit, single OR married, and under 40. If qualified for supervision, anaesthesia, operating room work, or interested in overseas assignment, the age limit is the 45th P birthday! e If eligible and not already in service, are you t Immediately available Available in the near future (specify date) Not available for the following reasons (specify) If married, do you have minor dependents? (specify) If the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be youb Immediately available Available in the near future (specify date) Not available for the following reasons (specify) AVAILABILITY FOR SERVICE WITH CIVILIANS HOLAM If not already doing so, will you Teach Red Cross Home Nursing classes, if qualified? yes not Uolunteer Teach Volunteer Nurse's Aides, if qualified? Serve with an overseas unit caring for civilian casualties? Be available for emergency Red Cross assignments? OVIRSUV no 100HD8 MORT PHYSICAL CONDITION Have you been rejected for military service? Yes No Served in France during war I Why? Do you believe that you could now meet revised physical requirements for military service? Yes No State present physical condition Good s If any disabilities, please specify Red Cross Badge No.4755 Jan 4-1943 (date this form is filled in) OAKEAND LOCAL COMMITTEE RED CROSS NURSING SERVICE Name of committee TOU LAKE ST.) OAKLAND, CALIFA (to be filled in by committee before questionnaire is sent to the nurse) YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE AND RETURNING IT TO US.

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    "ocrText": "IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nCHECK THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be-\nPhysically fit, single, and under 40.\nM\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be-\nPhysically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,\noperating room work, or interested in overseas assignment, the age limit is the 45th\nP\nbirthday!\ne\nIf eligible and not already in service, are you\nt\nImmediately available\nAvailable in the near future\n(specify date)\nNot available for the following reasons\n(specify)\nIf married, do you have minor dependents?\n(specify)\nIf the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be\nyoub\nImmediately available\nAvailable in the near future\n(specify date)\nNot available for the following reasons\n(specify)\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nHOLAM\nIf not already doing so, will you\nTeach Red Cross Home Nursing classes, if qualified? yes\nnot\nUolunteer\nTeach Volunteer Nurse's Aides, if qualified?\nServe with an overseas unit caring for civilian casualties?\nBe available for emergency Red Cross assignments?\nOVIRSUV no 100HD8 MORT\nPHYSICAL CONDITION\nHave you been rejected for military service?\nYes\nNo\nServed in France during war I\nWhy?\nDo you believe that you could now meet revised physical requirements for military service?\nYes\nNo\nState present physical condition Good\ns\nIf any disabilities, please specify\nRed Cross Badge No.4755\nJan 4-1943\n(date this form is filled in)\nOAKEAND LOCAL COMMITTEE\nRED CROSS NURSING SERVICE\nName of committee\nTOU LAKE ST.) OAKLAND, CALIFA\n(to be filled in by committee before questionnaire is sent to the nurse)\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL\nEMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE\nAND RETURNING IT TO US."
}