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B T RED CROSS BADGE NUMBER AMERICAN RED CROSS 1535 NURSING SERVICES MILITARY SERIAL NUMBER ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED S NAME (Last, first, middle) TELEPHONE NO. a Bryant, Sallie Jane 40-1173 / IF MARRIED, GIVE MAIDEN NAME HUSBAND'S NAME - PERMANENT ADDRESS (Street, city, zone, county, state) e 2708 Monterey Street, St. Joseph 55. Missouri PRESENT ADDRESS (Street, city, zone, county, state) 2708 Monterey St., St. Joseph 55, Mo. NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES RELATIONSHIP J. Jessie L.Bryant Above Address Sister DATE OF BIRTH (Month, day, year) 20th. June, 1876 Single yes Married Separated Widowed Divorced WHAT LANGUAGES DO YOU SPEAK? YES NO HIGH SCHOOL GRADUATE english NAME OF COLLEGE OR Mo. DEGREE OR UNIVERSITY ATTENDED State Teachensation Warrensburg INCLUSIVE DATES 1921 DIPLOMA MAJOR One semester ****** sociology; One semester Adult psychology ( extension Missouri University, Dr. Mary Robinson. ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? X Missouri NURSES' ASSOCIATION? PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) Soc. SERVICE (Medicine, surgery, etc.) Executive Secretary Buchanan Co. Tuberculosis Health Education NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED CITY STATE Buchanan Co. Tuberculosis Society St.Joseph, Missouri HEALTH very IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY good VOLUNTEER SERVICE The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are villing and able to serve if called on within the next 12 months. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS Joseph Buchanan Co. Chapter, 117 So.15th Street, St. Joseph, Mo. 1. Teach home YES NO Attend an instructors' training program, if offered. (Funds are available for YES NO X nursing classes training home nursing instructors. See local chapter.) 2. Serve in case YES NO only in home community Attend disaster institutes, if YES NO of disaster In other communities Coffered, in preparation for service X ves 3. Teach nurse's YES NO 4. Accept membership on chapter com- YES NO 5. Assist with other chapter YES NO aide classes X mittee should services be needed programs, as needed X If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES NO you will be able to serve at some time in the future? IF UNABLE TO SERVE, GIVE MAJOR REASONS- I do not feel that I am well enough qualified to teach home nursing classes DATE Aug. 22, 1945 YOUR VALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY IGNATURE AND Salli WILLINGNESS J to SERVE Bryant AND, TOUR PAITHPOLNESS R.n. IN KEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN AT ROMPTLY TO THE 5 COMMITTEE NAMED BELOW. ATTENTION Fill in commit addressebef'oreesending quest! onnaire to nurse. 3 SECRETARY Buchanan County Chapter, A. R. C. NURSE RECRUITMENT 117 So. 15th Street, of COMMITTEE ST 13, MISSOURI 78504M FORM 1045 Rev. July 1945

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    "ocrText": "B\nT\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n1535\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nS\nNAME (Last, first, middle)\nTELEPHONE NO.\na\nBryant, Sallie Jane\n40-1173\n/\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\n-\nPERMANENT ADDRESS (Street, city, zone, county, state)\ne\n2708 Monterey Street, St. Joseph 55. Missouri\nPRESENT ADDRESS (Street, city, zone, county, state)\n2708 Monterey St., St. Joseph 55, Mo.\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nJ.\nJessie L.Bryant Above Address\nSister\nDATE OF BIRTH (Month, day, year)\n20th. June, 1876\nSingle\nyes\nMarried\nSeparated\nWidowed\nDivorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nHIGH SCHOOL GRADUATE\nenglish\nNAME OF COLLEGE OR\nMo.\nDEGREE OR\nUNIVERSITY ATTENDED State Teachensation Warrensburg INCLUSIVE DATES 1921 DIPLOMA\nMAJOR\nOne semester ****** sociology; One semester Adult psychology ( extension\nMissouri University, Dr. Mary Robinson.\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nX\nMissouri\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSoc.\nSERVICE (Medicine, surgery, etc.)\nExecutive Secretary Buchanan Co. Tuberculosis\nHealth Education\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nBuchanan Co. Tuberculosis Society\nSt.Joseph,\nMissouri\nHEALTH very IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\ngood\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are villing and able to\nserve if called on within the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\nJoseph Buchanan Co. Chapter, 117 So.15th Street, St. Joseph, Mo.\n1. Teach home\nYES\nNO\nAttend an instructors' training program, if offered. (Funds are available for\nYES\nNO\nX\nnursing classes\ntraining home nursing instructors. See local chapter.)\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof disaster\nIn other communities\nCoffered, in preparation for service\nX\nves\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nX\nmittee should services be needed\nprograms, as needed\nX\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS-\nI do not feel that I am well enough qualified to teach home nursing classes\nDATE\nAug. 22, 1945\nYOUR VALUE AS 4 RED CROSS NURSE DEPENDS ON YOUR ABILITY\nIGNATURE AND Salli WILLINGNESS J to SERVE Bryant AND, TOUR PAITHPOLNESS R.n. IN\nKEEPING US INFORMAD OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN AT ROMPTLY TO THE\n5\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in commit addressebef'oreesending quest! onnaire to nurse.\n3\nSECRETARY\nBuchanan County Chapter, A. R. C.\nNURSE RECRUITMENT\n117 So. 15th Street,\nof\nCOMMITTEE\nST 13, MISSOURI\n78504M\nFORM 1045 Rev. July 1945"
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