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QUESTIONNAIRE
To Nurses Who have not Yet Reported For Service
July 16, , 1918
NAME anna L Tittinan
PERMANENT
ADDRESS 1129 S Second Rtr sprongfield, fllo
BADGE NUMBER 6072
ARE YOU A MEMBER OF ANY UNIT OR BASE HOSPITAL? no
HAVE YOU ALREADY VOLUNTEERED FOR ACTIVE SERVICE? IF SO TO WHOM?
X
GIVE DATE ON WHICH YOU CAN BE READY X any time advisable that for me
CAN YOU ACCEPT SERVICE FOR DUTY AT HOME OR
to ABROAD? give up my position
Holding position as
IF NOT AVAILABLE GIVE REASON state any of sels
Education
IN WHAT NURSING ACTIVITY ARE YOU NOW ENGAGED?
(After filling out this questionnaire kindly return
to your Local Committee on Red Cross Nursing Service)
0
NAME OF NEAREST RELATIVE William a Tithman
ADDRESS RTD , # 7 sels
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Context sent to Scholar
Document identity
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Document source extras
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"ocrText": "QUESTIONNAIRE\nTo Nurses Who have not Yet Reported For Service\nJuly 16, , 1918\nNAME anna L Tittinan\nPERMANENT\nADDRESS 1129 S Second Rtr sprongfield, fllo\nBADGE NUMBER 6072\nARE YOU A MEMBER OF ANY UNIT OR BASE HOSPITAL? no\nHAVE YOU ALREADY VOLUNTEERED FOR ACTIVE SERVICE? IF SO TO WHOM?\nX\nGIVE DATE ON WHICH YOU CAN BE READY X any time advisable that for me\nCAN YOU ACCEPT SERVICE FOR DUTY AT HOME OR\nto ABROAD? give up my position\nHolding position as\nIF NOT AVAILABLE GIVE REASON state any of sels\nEducation\nIN WHAT NURSING ACTIVITY ARE YOU NOW ENGAGED?\n(After filling out this questionnaire kindly return\nto your Local Committee on Red Cross Nursing Service)\n0\nNAME OF NEAREST RELATIVE William a Tithman\nADDRESS RTD , # 7 sels"
}