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I I FORM 1045 AMERICAN RED CROSS OCT. 1943 NURSING SERVICE ANNUAL QUESTIONNAIRE-1944 Red Cross Badge number 13119 If you have changed your last name since contacting us, please check here. Name in full Denison majorie Lawton (last) (first) (middle) If married, give maiden name work. Tel. No. Willoughly 842R married Date of birth aug. 18 : 1889 Marital status Husband's name Ernest Lee (single, married, widowed, divorced) Permanent address 69 Beachview Ericside Ohio (street) (city) (county) (state) Present address name (street) (city) (county) (state) Notify national headquarters immediately if you change your address. Give name and address of nearest relative or friend in the United States: Charles (name) K. arter 4982 Clubride (address) Dr. Synhurst this Brether-m-faw (relationship) Are you employed in nursing at the present time? Yes No If employed, check the type of work you are doing and fill in below the title of your position and the name and address of the agency or institution: Institutional Public Health Industrial Private Duty Other Hourly hursing If not employed, what type of /nursing would you prefer to render? IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND ANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX AVAILABILITY FOR SERVICE WITH THE ARMED FORCES Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40. For assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She may be single or married, but if married she must have no dependents under 14 years of age. If eligible and not already in service with the armed forces, are you: Immediately available? Available in the near future? (specify date) Not available, for the following reason ? physically haffit (specify) - of am hursing Do you have any dependents under 14 years of age? Yes No AVAILABILITY FOR SERVICE WITH CIVILIANS If qualified and not already doing so, will you be available: To teach Red Cross Home Nursing classes ? Hane taught will AMERICAN RED CROSS To teach volunteer nurse's aides? Greater Cleveland Chapter To take a Red Cross emergency assignment? NURSE RECRUITMENT COMMITTEE 1227 Prospect AVC., Ohio To serve overseas caring for civilians? Have you ever served with the Red Cross in a disaster? Yes No If yes, specify type of disaster

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    "ocrText": "I\nI\nFORM 1045\nAMERICAN RED CROSS\nOCT. 1943\nNURSING SERVICE\nANNUAL QUESTIONNAIRE-1944\nRed Cross\nBadge number 13119\nIf you have changed your last name\nsince contacting us, please check here.\nName\nin full Denison majorie\nLawton\n(last)\n(first)\n(middle)\nIf married, give maiden name work.\nTel. No. Willoughly 842R\nmarried\nDate of birth aug. 18 : 1889\nMarital status\nHusband's name Ernest Lee\n(single, married, widowed, divorced)\nPermanent address\n69 Beachview Ericside\nOhio\n(street)\n(city)\n(county)\n(state)\nPresent address\nname\n(street)\n(city)\n(county)\n(state)\nNotify national headquarters immediately if you change your address.\nGive name and address of nearest relative or friend in the United States:\nCharles (name) K. arter 4982 Clubride (address) Dr. Synhurst this Brether-m-faw\n(relationship)\nAre you employed in nursing at the present time? Yes\nNo\nIf employed, check the type of work you are doing and fill in below the title of your position and the name\nand address of the agency or institution:\nInstitutional\nPublic Health\nIndustrial\nPrivate Duty\nOther\nHourly hursing\nIf not employed, what type of /nursing would you prefer to render?\nIT\nIS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She\nmay be single or married, but if married she must have no dependents under 14 years of age.\nIf eligible and not already in service with the armed forces, are you:\nImmediately available?\nAvailable in the near future?\n(specify date)\nNot available, for the following reason ? physically haffit (specify) - of am hursing\nDo you have any dependents under 14 years of age? Yes\nNo\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf qualified and not already doing so, will you be available:\nTo teach Red Cross Home Nursing classes ? Hane taught\nwill\nAMERICAN RED CROSS\nTo teach volunteer nurse's aides?\nGreater Cleveland Chapter\nTo take a Red Cross emergency assignment?\nNURSE RECRUITMENT COMMITTEE\n1227 Prospect AVC.,\nOhio\nTo serve overseas caring for civilians?\nHave you ever served with the Red Cross in a disaster? Yes\nNo\nIf yes, specify type of disaster"
}