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Form 1045 Rev. Nov. 1941 AMERICAN RED CROSS NURSING SERVICE Name in full Wright, (last) Thomas (first) Elizabeth (middle) Tel. No. G. 8085 polyni If married, give maiden name Year of birth Oct, 31, 190L Marital status Single Husband's name Permanent address 1113 So alamo San Gutonis, (single, married widowed, divorced) Co., Texas. Probable for the next address year 1113 (street) So. alamo (city) San Autonio, (county) (state) Co., Texas (street) (city) (county) (state) Give name and address of nearest relative or friend in United States: Mrs. In Wright (name) father (relationship) Mother, 3177 Magnaha (address) St. Corpus Christin Are you employed in nursing at the present time? Yes No Texas PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed Institutional Public health Industrial Private duty In P.T.S. Hasp. San autonis, Times Other (write in) Government Service: Army, Regular Navy, Regular Veterans Administration Reserve Reserve Children's Bureau U.S.P.H. Service U.S. Indian Service MAJOR RESPONSIBILITIES Administration Teaching Private duty of present employment Supervision General Staff Other (specify) How many years did you attend HIGH SCHOOL? One Two Three Four Graduated Yes No SINCE GRADUATION FROM YOUR SCHOOL OF NURSING have you ever had- 1. A postgraduate course or experience in any of the following special services? Postgraduate course Experience in hospital in a hospital or public health field (at least 3 months) (at least 6 months) Communicable disease nursing (include Tbc) Surg. Super Psychiatric Nursing night Operating room Beld Anaesthesia Siew in 113. Hosp Public health nursing 2. Have you taken any courses in a college or university? Infinancian inf college Less than One Two Three Four Bachelor's Master's P.H.D. Certificate in *one year year years years years degree degree degree Public Health B.A. In what major field was above study? nursing Education What languages, other than English, do you speak? German Spanish Academic year not fluently in either (OVER)

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    "ocrText": "Form 1045\nRev. Nov. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nName in full Wright, (last) Thomas (first) Elizabeth (middle) Tel. No. G. 8085 polyni\nIf married, give maiden name\nYear of birth Oct, 31, 190L\nMarital status\nSingle\nHusband's name\nPermanent address\n1113 So alamo San Gutonis,\n(single, married widowed, divorced)\nCo., Texas.\nProbable\nfor the\nnext address year 1113 (street) So. alamo (city)\nSan Autonio,\n(county)\n(state)\nCo., Texas\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nMrs. In Wright (name) father (relationship) Mother, 3177 Magnaha (address) St. Corpus Christin\nAre you employed in nursing at the present time? Yes\nNo\nTexas\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nInstitutional\nPublic health\nIndustrial\nPrivate duty\nIn P.T.S. Hasp. San autonis, Times\nOther (write in)\nGovernment Service: Army, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral Staff\nOther (specify)\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo\nThree\nFour\nGraduated\nYes\nNo\nSINCE GRADUATION FROM YOUR SCHOOL OF NURSING\nhave you ever had-\n1. A postgraduate course or experience in any of the following special services?\nPostgraduate course\nExperience in hospital\nin a hospital\nor public health field\n(at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include Tbc)\nSurg. Super\nPsychiatric Nursing\nnight\nOperating room\nBeld\nAnaesthesia\nSiew in 113. Hosp\nPublic health nursing\n2. Have you taken any courses in a college or university?\nInfinancian inf college\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nP.H.D.\nCertificate in\n*one year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\nPublic Health\nB.A.\nIn\nwhat major field was above study? nursing Education\nWhat languages, other than English, do you speak?\nGerman Spanish\nAcademic year\nnot fluently in either (OVER)"
}