Annual Questionnaire of 1944

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? 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 agrees H Stanfield Dec. 9-1943 - (signature) (date this form 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. YORK CHAPTER (Name of the committee to whom this questionnaire is to be returned) YORK, N. Y. (street) (city) (state)