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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.

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Page
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Document source extras
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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."
}