Letter from Florence M. Johnson to Clara D. Noyes
This is a letter regarding Agnes von Kurowsky's application papers. Included in this item is the top sheet of the application form as well as the Confidential Report of Medical Examiner on Agnes von Kurowsky
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Extracted text
OCR Page 1 of 7Form B.P.-604
Revised May 20, 1918
TOP SHEET
Upper portion for Divisional Record. Also see last portion of application form.
Recommended by Allantic Division for enrollment under Requisition nurse
If not American citizen, SO state, and give citizenship
Is applicant available leaving home two weeks from date full papers are rec'd in Washington. yes
Name agnes vou Kurowsby Street Address 426 26
East Street
yomas Bruell
City New ynk
Temporary Address to what date 29 Club Duie are w ordness Lg
LANGUAGES SPOKEN
LOCATION OF
PLEASE CHECK OR FILL OUT BLANKS WHERE POSSIBLE.
E-EXCELLENT
G-GOOD F-FAIR
SERVICE DESIRED
Proposed length of
stay me year
Full Volunteer
Volunteer with expenses met by Red Cross
Is allowance for living abroad to be left to discretion of foreign Commission?
I
Allowance for living abroad if not left to discretion of foreign Commission ?
N
Salary over expense allowance if any
Allowance for living prior to departure
Requisition for uniform and equipment
Allowance for transportation overseas and return
Allowance for transportation in U.S. and return
PHYSICAL REPORT
AGE 28
Loyalty investigation conducted by (Name of agency employed, if any)
Date Reported
Date examined
and Report
7el.25-1920
nme requested
List of Loyalty indorsements:
Have passport application and pictures been forwarded
Date
Headquarters Record (Initial, date, and "O.K." where acceptable)
FILE RECORD
DATE
REFERRED TO
CLASSIFICATION
Full papers
Provisional Enrollment
War Dept.
Physical
Actual Enrollment
REMARKS
Relations
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