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FORM 104B REV. JAN 1941 AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. Name in full Turner (SURNAME) Laura (FIRST) Knowlton (MIDDLE) Year of Birth 1890 Husband's name myron S. Turner Permanent address Vassalboro Kennebee maine (STREET) (CITY) (COUNTY) (STATE) Probable address for the next year Uassalboro Kennebec maine (STREET) (CITY) (COUNTY) (STATE) Telephone number Waterville 598 W2 (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: myron (NAME) S. Turner Husband Uassalboro maine (RELATIONSHIP) (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public Health Private duty Other (write in) Housewife Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S. Indian Service Children's Bureau MAJOR RESPONSIBILITIES Adminis- Super Teach- General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? yes Present physical condition Excellent Badge No. 36,718 Current date Feb.17,1941 Name of Committee maine Utale t Local 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
37
Source index
0
Type
photo
Media ID
2a9f21866c14cd58
Size
unknown

Document data

ID
2662389
Core
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Type
document
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Document identity
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Document source extras
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Page context
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    "ocrText": "FORM 104B\nREV. JAN 1941\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\nName in full Turner (SURNAME) Laura (FIRST) Knowlton (MIDDLE)\nYear of Birth 1890\nHusband's\nname myron S. Turner\nPermanent address\nVassalboro\nKennebee\nmaine\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nfor the next year\nUassalboro\nKennebec\nmaine\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number Waterville 598 W2\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nmyron (NAME) S. Turner\nHusband\nUassalboro maine\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\nOther (write in) Housewife\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S. Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis-\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? yes\nPresent physical condition Excellent\nBadge No. 36,718\nCurrent date Feb.17,1941\nName of Committee\nmaine Utale t Local\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."
}