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relen,
PHYSICAL CONDITION
Have you been rejected for military service by:
The Army Nurse Corps? Yes
No
The Navy Nurse Corps? Yes
No
When ?
Why?
Do you believe that you could now meet physical requirements for military service? Yes
No
What is your present physical condition?
S have had arthrites from a year
A
If any disabilities, please specify
If you have had additional study since filing your 1943 Red Cross questionnaire give the type of course
and the length of time included:
If you did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions:
How many years did you attend high school? One
Two
Three
Four
Graduated
Yes
No
BEFORE entering training, how many years did you attend college?
Did you have a five-year nursing course granting a bachelor's degree? Yes
No
AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have:
1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in a
hospital) in any of the following services?
Course
Number of months
Experience
Number of months
Communicable disease nursing
(includes tuberculosis)
Psychiatric nursing
Operating room
Anaesthesia
2. Any courses in a college or university ? (Check in box.)
Less than one
One
Two
Three
Four
Bachelor's
Master's
Ph.D.
M.D.
academic year
year
years
years
years
degree
degree
degree
degree
In what major field was the above study ?
3. Experience or training in the public health field? Experience, 6 months or more
Postgraduate course, 4 months or more
Certificate
Degree
Claubil G. When
(signature)
Jan (date this form 1944 is filled
in)
YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU.
THE WORLD CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU FOR FILLING
IN THIS QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE NAMED BELOW.
To be filled in by the committee before the questionnaire is sent to the nurse.
(Name of the committee to whom this questionnaire is to be returned)
NURSE RECRUITMENT COMMITTEE,
(street)
(city)
RICHMOND CHAPTER, AMETRICOAN RED CROSS,
2 NORTH FIFTH STREET,
RICHMOND 19, VIRGINIA.
Page data
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- Source index
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- Type
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Document data
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- Core
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Context sent to Scholar
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Document source extras
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"ocrText": "relen,\nPHYSICAL CONDITION\nHave you been rejected for military service by:\nThe Army Nurse Corps? Yes\nNo\nThe Navy Nurse Corps? Yes\nNo\nWhen ?\nWhy?\nDo you believe that you could now meet physical requirements for military service? Yes\nNo\nWhat is your present physical condition?\nS have had arthrites from a year\nA\nIf any disabilities, please specify\nIf you have had additional study since filing your 1943 Red Cross questionnaire give the type of course\nand the length of time included:\nIf you did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions:\nHow many years did you attend high school? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBEFORE entering training, how many years did you attend college?\nDid you have a five-year nursing course granting a bachelor's degree? Yes\nNo\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have:\n1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in a\nhospital) in any of the following services?\nCourse\nNumber of months\nExperience\nNumber of months\nCommunicable disease nursing\n(includes tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Any courses in a college or university ? (Check in box.)\nLess than one\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.D.\nacademic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was the above study ?\n3. Experience or training in the public health field? Experience, 6 months or more\nPostgraduate course, 4 months or more\nCertificate\nDegree\nClaubil G. When\n(signature)\nJan (date this form 1944 is filled\nin)\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU.\nTHE WORLD CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU FOR FILLING\nIN THIS QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE NAMED BELOW.\nTo be filled in by the committee before the questionnaire is sent to the nurse.\n(Name of the committee to whom this questionnaire is to be returned)\nNURSE RECRUITMENT COMMITTEE,\n(street)\n(city)\nRICHMOND CHAPTER, AMETRICOAN RED CROSS,\n2 NORTH FIFTH STREET,\nRICHMOND 19, VIRGINIA."
}