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OCR
I
C
B
2nd
Form 1045
Rev. Nov. 1942
OKA woras
AMERICAN RED CROSS
1
NURSING SERVICE
DC
Boston metro
a
Du Brau class Edeth
If you have changed your last name since
contacting us, please check here
Name in full
(last)
(first)
(middle)
Tel. NoNeumere 0950
If married, give maiden name
Date of birth July 13-1002
C
Marital status
Husband's name
(single, married, widowed, divorced)
Permanent address 839 (street) Boylston (city) Bostne
Mariachusetts
(county)
(state)
Probable address
for the next year 739Boylstore Boston
/
massachusetts
(street)
(city)
(county)
(state)
Give name and address of nearest relative or friend in United States:
sester
(name)
(relationship)
Central th (address) Harragawett Peir R.J.
E
Are you employed in nursing at the present time?
Yes
No
PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed
d
Institutional
+
Public health
Industrial
Private duty
Other (write in)
Government Service:
Army, Regular
Navy, Regular
Veterans Administration
Reserve
Reserve
Children's Bureau
U.S.P.H. Service
U.S. Indian Service
ITLIGANATA
MAJOR RESPONSIBILITIES
Administration
Teaching
Private duty
of present employment
Supervision
General staff
Other (specify)
If not employed, what type of nursing would you prefer to render?
How many years did you attend HIGH SCHOOL?
One
Two Private Three Four Duz Graduated
Yes
No
Before entering training, how many years did you attend COLLEGE?
Egetinalist
Did you have a five-year course granting bachelor's degree?
AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-
Postgraduate course
in a hospital
Experience in hospital
1. A postgraduate course or experience in any of the following services? (at least 3 months)
(at least 6 months)
Communicable disease nursing (include tuberculosis)
Psychiatric nursing
Operating room
Anaesthesia
2. Have you had any courses in a college or university?
Less than
One
Two
Three
Four
Bachelor's
Master's
Ph.D.
M. D.
one academic year
year
years
years
years
degree
degree
degree
degree
In what major field was above study?
3. Training and experience in the public health field: Postgraduate 4 months or more
Certificate
Degree
Experience 6 months
Have you ever held a position as an air hostess?
Yes
No
How long?
Have you ever had any other air experience?
Yes
No
Specify
(OVER)
4
Page data
- Page
- 21
- Source index
- 0
- Type
- photo
- Media ID
- a6e58b0952ed4f1d
- Size
- unknown
Document data
- ID
- 2661393
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "I\nC\nB\n2nd\nForm 1045\nRev. Nov. 1942\nOKA woras\nAMERICAN RED CROSS\n1\nNURSING SERVICE\nDC\nBoston metro\na\nDu Brau class Edeth\nIf you have changed your last name since\ncontacting us, please check here\nName in full\n(last)\n(first)\n(middle)\nTel. NoNeumere 0950\nIf married, give maiden name\nDate of birth July 13-1002\nC\nMarital status\nHusband's name\n(single, married, widowed, divorced)\nPermanent address 839 (street) Boylston (city) Bostne\nMariachusetts\n(county)\n(state)\nProbable address\nfor the next year 739Boylstore Boston\n/\nmassachusetts\n(street)\n(city)\n(county)\n(state)\nGive name and address of nearest relative or friend in United States:\nsester\n(name)\n(relationship)\nCentral th (address) Harragawett Peir R.J.\nE\nAre you employed in nursing at the present time?\nYes\nNo\nPRESENT EMPLOYMENT (check below) Name of agency or institution with which employed\nd\nInstitutional\n+\nPublic health\nIndustrial\nPrivate duty\nOther (write in)\nGovernment Service:\nArmy, Regular\nNavy, Regular\nVeterans Administration\nReserve\nReserve\nChildren's Bureau\nU.S.P.H. Service\nU.S. Indian Service\nITLIGANATA\nMAJOR RESPONSIBILITIES\nAdministration\nTeaching\nPrivate duty\nof present employment\nSupervision\nGeneral staff\nOther (specify)\nIf not employed, what type of nursing would you prefer to render?\nHow many years did you attend HIGH SCHOOL?\nOne\nTwo Private Three Four Duz Graduated\nYes\nNo\nBefore entering training, how many years did you attend COLLEGE?\nEgetinalist\nDid you have a five-year course granting bachelor's degree?\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have-\nPostgraduate course\nin a hospital\nExperience in hospital\n1. A postgraduate course or experience in any of the following services? (at least 3 months)\n(at least 6 months)\nCommunicable disease nursing (include tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Have you had any courses in a college or university?\nLess than\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM. D.\none academic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was above study?\n3. Training and experience in the public health field: Postgraduate 4 months or more\nCertificate\nDegree\nExperience 6 months\nHave you ever held a position as an air hostess?\nYes\nNo\nHow long?\nHave you ever had any other air experience?\nYes\nNo\nSpecify\n(OVER)\n4"
}