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FORM 1045
AMERICAN RED CROSS
REV. DEC. 1939
NATIONAL HEADQUARTERS
WASHINGTON, D.C.
Name in full Greager
ma Lena
Johnson
(SURNAME)
(FIRST)
(MIDDLE)
Husband's name Greager Frederick
Permanent address 6952 Cottage Grove Ave Chicago Cook ILLinois
(STREET)
(CITY)
(COUNTY)
(STATE)
Probable address
for the next year
same
(STREET)
(CITY)
(COUNTY)
(STATE)
Telephone
number Fair Fax
2671
(EXCHANGE)
(NO.)
Nearest relative or friend in United States, through whom you may be communicated with in
an emergency.Jrederic Greager
Husband
(NAME)
(RELATIONSHIP)
above
(STREET)
(CITY)
(STATE)
PRESENT WORK (check below)
Name of agency or institution with which employed
Institutional
Public Health
Private duty
Other (write in)
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. yes
(Granted of course that you could be released from present employment)
Present physical condition Good
Would you be interested in teaching classes in Home Hygiene and Care of the Sick? Yes
Are you a member of the American Nurses' Association? No = = was until married 1931
If not, why have you allowed your membership to lapse? Being inactive proFessionally
Badge No. 14764
Current date Fep 28 - 1940
Name of Committee
Chicago
Note: If a nurse does not complete and return this questionnaire, and cannot be located
within two years, her enrollment will be removed from our active files.
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- Source index
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Document data
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- 2661553
- Core
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- Type
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Context sent to Scholar
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"ocrText": "+\nFORM 1045\nAMERICAN RED CROSS\nREV. DEC. 1939\nNATIONAL HEADQUARTERS\nWASHINGTON, D.C.\nName in full Greager\nma Lena\nJohnson\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name Greager Frederick\nPermanent address 6952 Cottage Grove Ave Chicago Cook ILLinois\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nfor the next year\nsame\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone\nnumber Fair Fax\n2671\n(EXCHANGE)\n(NO.)\nNearest relative or friend in United States, through whom you may be communicated with in\nan emergency.Jrederic Greager\nHusband\n(NAME)\n(RELATIONSHIP)\nabove\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)\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. yes\n(Granted of course that you could be released from present employment)\nPresent physical condition Good\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick? Yes\nAre you a member of the American Nurses' Association? No = = was until married 1931\nIf not, why have you allowed your membership to lapse? Being inactive proFessionally\nBadge No. 14764\nCurrent date Fep 28 - 1940\nName of Committee\nChicago\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files."
}