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FORM 1045
AMERICAN RED CROSS
NATIONAL HEADQUARTERS
14 QUESNOWMAIRES REV.
DEC. 1939
WASHINGTON, D. C.
DESTROYD
Name in full
Turner
Laura
Knowlton
(SURNAME)
(FIRST)
(MIDDLE)
Husband's name
myron S. Turner
Permanent address
Vassalboro Kennebee n maine
(STREET)
(CITY)
(COUNTY)
(STATE)
Probable address
for the next year
Vassalboro Kennebec
maine
(STREET)
(CITY)
(COUNTY)
(STATE)
Telephone number Waterville
598-W2
(EXCHANGE)
(NO.)
Nearest relative or friend in United States, through whom you may be communicated with in
an emergency:
myron (NAME) S. Turner
Husband
(RELATIONSHIP)
Vassalboro
maine
(STREET)
(CITY)
(STATE)
PRESENT WORK (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
IF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:
Institutional
Public Health
Private duty
Other (write in)
Would you respond to an emergency call in event of local or national emergency, such as
epidemic, flood, war, etc.
(Granted of course tha you could be released from present employment)
yes if family duties permit
Present physical condition
good
Would you be interested in teaching classes in Home Hygiene and Care of the Sick? yes
Are member American Nurses' Association? yes
you a of the
If not, why have you allowed your membership to lapse?
Badge No. 36,718
Current date march 19,1940
Name of Committee Maine State and Local Committee
Note: If a nurse does not complete and return this questionnaire, and cannot be located
within two years, her enroilment will be removed from our active files.
Page data
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- Source index
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- Type
- photo
- Media ID
- c741a6da369357ac
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- unknown
Document data
- ID
- 2662389
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "FORM 1045\nAMERICAN RED CROSS\nNATIONAL HEADQUARTERS\n14 QUESNOWMAIRES REV.\nDEC. 1939\nWASHINGTON, D. C.\nDESTROYD\nName in full\nTurner\nLaura\nKnowlton\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nmyron S. Turner\nPermanent address\nVassalboro Kennebee n maine\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nfor the next year\nVassalboro Kennebec\nmaine\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number Waterville\n598-W2\n(EXCHANGE)\n(NO.)\nNearest relative or friend in United States, through whom you may be communicated with in\nan emergency:\nmyron (NAME) S. Turner\nHusband\n(RELATIONSHIP)\nVassalboro\nmaine\n(STREET)\n(CITY)\n(STATE)\nPRESENT WORK (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\nIF NOT ACTIVE IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nWould you respond to an emergency call in event of local or national emergency, such as\nepidemic, flood, war, etc.\n(Granted of course tha you could be released from present employment)\nyes if family duties permit\nPresent physical condition\ngood\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? yes\nAre member American Nurses' Association? yes\nyou a of the\nIf not, why have you allowed your membership to lapse?\nBadge No. 36,718\nCurrent date march 19,1940\nName of Committee Maine State and Local Committee\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enroilment will be removed from our active files."
}