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IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND
CHECK THE APPROPRIATE BOX
AVAILABILITY FOR SERVICE WITH THE ARMED FORCES
310W
Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be
(out)
anahmitrid
to
Physically fit, single, and under 40.
11
For assignment to the Army Nurse Corps, a Red Cross nurse must be
Physically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,
operating room work, or interested in overseas assignment, the age limit is the 45th
birthday.
witchich
to
If eligible and not already in service, are you
ni 10 orientar know
Immediately available
Available in the near future
(specify date)
Not available for the following reasons
conoga
10
(work
(specify)
If married, do you have minor dependents?
(specify)
If the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you
bebnl
vitab
Immediately available
Available in the near future
(specify date)
their
Not available for the following reasons
(specify)
AVAILABILITY FOR SERVICE WITH CIVILIANS
HOTAM
If not already doing so, will you
10
Teach Home
Red Cross Nursing classes, if qualified? It: doubtf. that I could spare time now
Teach Volunteer Nurse's Aides, if qualified?
oA
Serve with an overseas caring casualties? yes, if needed
unit for civilian
Be available for emergency Red Cross assignments? yes, if neaded
DMIBITUX
10
PHYSICAL CONDITION
Have you been rejected for military service?
Yes
No
Why?
Do you believe that you could now meet revised physical requirements for military service?
Yes
No
State present physical condition Good
If any disabilities, please specify
T
Red Cross Badge No. 7265
December, 17 1942
(date this form is filled in)
Name of committee
Manyland State thocal Committee
(to be filled in by committee before questionnaire is sent to the nurse)
YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL
EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE
AND RETURNING IT TO US.
7265
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"ocrText": "SMB\nIT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nCHECK THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\n310W\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be\n(out)\nanahmitrid\nto\nPhysically fit, single, and under 40.\n11\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be\nPhysically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,\noperating room work, or interested in overseas assignment, the age limit is the 45th\nbirthday.\nwitchich\nto\nIf eligible and not already in service, are you\nni 10 orientar know\nImmediately available\nAvailable in the near future\n(specify date)\nNot available for the following reasons\nconoga\n10\n(work\n(specify)\nIf married, do you have minor dependents?\n(specify)\nIf the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you\nbebnl\nvitab\nImmediately available\nAvailable in the near future\n(specify date)\ntheir\nNot available for the following reasons\n(specify)\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nHOTAM\nIf not already doing so, will you\n10\nTeach Home\nRed Cross Nursing classes, if qualified? It: doubtf. that I could spare time now\nTeach Volunteer Nurse's Aides, if qualified?\noA\nServe with an overseas caring casualties? yes, if needed\nunit for civilian\nBe available for emergency Red Cross assignments? yes, if neaded\nDMIBITUX\n10\nPHYSICAL CONDITION\nHave you been rejected for military service?\nYes\nNo\nWhy?\nDo you believe that you could now meet revised physical requirements for military service?\nYes\nNo\nState present physical condition Good\nIf any disabilities, please specify\nT\nRed Cross Badge No. 7265\nDecember, 17 1942\n(date this form is filled in)\nName of committee\nManyland State thocal Committee\n(to be filled in by committee before questionnaire is sent to the nurse)\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL\nEMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE\nAND RETURNING IT TO US.\n7265"
}