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B
T
ad
planning
years
Dear Madam:
II
As you undoubtedly know, the National Committee on Red Cross Nursing
Service requires us to submit, annually, a list of all the Red Cross Nurses en-
rolled with our Committee, with their latest addresses, Wc know that you are very
busy, but we are extremely anxious to make a very complete report to National
Headquarters and Ask for your cooperation. Please answer the following questions
and return this form to me, in the enclosed envelope, at the earliest possible date.
Yours sincerely,
Chairman Secretary.
or
CHICAGO CHAPTER AMERICAN RED CROSS Local Committee.
616 S, hishigan a
Name
If
married, in full give gener husband's name gear Stradly
Fermanent address Port Lavaca Texas
Probable. address for the next year 308 n. michigan
Telephone No. Central 8435
Cherry
Name and (State address relationship) of nearest relative mr James W. Baadley (bother)
Underline the type of work
West fridge Rd grand Tapids: mich
you are now doing: - Army - Navy - S.P.H.Hospital - I.S.Vet,Hospital - Public
Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?
Have you ever been? no
Indicate present physical condition
good
Would you respond to an emergency call in event of epidemic, disaster, war, etc.?
Badge No. 13498
Current date 5/26/16
9
Note: - If the nurse does not complete and return this questionnaire, and can not be
8
located within two years, her enrollment will be annulled.
B-583
Page data
- Page
- 13
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- photo
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- d937aa1cc5235330
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- unknown
Document data
- ID
- 2661142
- Core
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"ocrText": "B\nT\nad\nplanning\nyears\nDear Madam:\nII\nAs you undoubtedly know, the National Committee on Red Cross Nursing\nService requires us to submit, annually, a list of all the Red Cross Nurses en-\nrolled with our Committee, with their latest addresses, Wc know that you are very\nbusy, but we are extremely anxious to make a very complete report to National\nHeadquarters and Ask for your cooperation. Please answer the following questions\nand return this form to me, in the enclosed envelope, at the earliest possible date.\nYours sincerely,\nChairman Secretary.\nor\nCHICAGO CHAPTER AMERICAN RED CROSS Local Committee.\n616 S, hishigan a\nName\nIf\nmarried, in full give gener husband's name gear Stradly\nFermanent address Port Lavaca Texas\nProbable. address for the next year 308 n. michigan\nTelephone No. Central 8435\nCherry\nName and (State address relationship) of nearest relative mr James W. Baadley (bother)\nUnderline the type of work\nWest fridge Rd grand Tapids: mich\nyou are now doing: - Army - Navy - S.P.H.Hospital - I.S.Vet,Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been? no\nIndicate present physical condition\ngood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nBadge No. 13498\nCurrent date 5/26/16\n9\nNote: - If the nurse does not complete and return this questionnaire, and can not be\n8\nlocated within two years, her enrollment will be annulled.\nB-583"
}