Ask the Scholar

Page 4 of 35

I can add historical knowledge about this page.

Page image

OCR

F
0
T
a
RED CROSS BADGE NUMBER
AMERICAN RED CROSS
17
N
NURSING SERVICES
MILITARY SERIAL NUMBER
e
ANNUAL QUESTIONNAIRE - 1945
CHECK IF YOUR LAST NAME HAS CHANGED
+
NAME (Last, first, middle)
TELEPHONE NO.
+
Ford NETTA
IF MARRIED, GIVE MAIDEN NAME
HUSBAND'S NAME
2718 york Pa
PERMANENT ADDRESS (Street, city, zone, county, state)
218 EARKET ST. York - York Co- PENNA.
PRESENT ADDRESS (Street, city, zone, county, state)
218 E MARKET St. YoRk- YoRK - PENNA.
NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES
RELATIONSHIP
&
LUGIA Ford YoRk-RD#6- - PENNA
SISTER.
DATE OF BIRTH (Month, day, year)
August 31 1890
Single
X
Married
Separated
Widowed
Divorced
WHAT LANGUAGES DO YOU SPEAK?
YES
NO
NAME OF COLLEGE OR
English
HIGH SCHOOL GRADUATE
X
DEGREE OR
UNIVERSITY ATTENDED
LOCATION
INCLUSIVE DATES
DIPLOMA
MAJOR
TEACHERS College.
Columbia UNIVERSITY
NEW YoRkCity NY
B.S. PuL.HEAlTh
BEdfoRdCollea
London ENGIAN
Rsixg.
T.C. QREELEY
grEElEy ColoRAVo
subject
UCLA
Los
related to
P.H. nursing
ARE YOU CURRENTLY
YES
NO
REGISTERED IN (State)
ARE YOU CURRENTLY A MEMBER OF THE AMERICAN
YES
NO
REGISTERED?
8529 PENNA(1920215)
NURSES' ASSOCIATION?
PRESENT EMPLOYMENT If not employed, check
POSITION TITLE (H.N., P.D., inst., staff nurse, etc.)
SERVICE (Medicine, surgery, etc.)
EX-DIRECTOR Visiting NERSE Assoc
Public HEAlth NURSING.
NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED
CITY
STATE
Visiting NURSE Assoc
Yo R K
PENNA
HEALTH
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 willing and able to
serve if called on within the next 12 months.
NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO bIVE FOR THE NEXT 12 MONTHS
1. Teach home
YES
NO
Attend
an offered. (Funds a available for
Instructors training program chacter If
YES
NO
nursing classes
X
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
offered, in preparation for service
X
3. Teach nurse's
YES
NO
4. Accept membership on chapter cóm-
YES
NO
5. Assist with other chapter
YES
NO
aide classes
mittee should services be needed
programs, as needed
If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, db you anticipate that
YES
NO
you will be able to serve at some time in the future?
IF UNABLE TO SERVE, GIVE MAJOR REASONS-
TIME
S IGNATURE
6.29
DATE
/
YOUR VALUE AS RED CROSS NURSE DEPENDS YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHFOLNESS
August A 14 - 945 ON
netta Ford Rn.
IN
KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN IT PROMPTLY TO THE
COMMITTEE NAMED BELOW.
ATTENTION
Fill in committee name and address before sending questionnaire to nurse.
SECRETARY
XORK co. NURSE RECRUITMENT COMM,
NURSE RECRUITMENT
34 NORTH DUKE STREET
COMMITTEE
YORK, PENNSYLVANIA
78504M
FORM 1045 Rev. July 1945

Page data

Page: 4
Source index: 0
Type: photo
Media ID: 49fbf8975fe0eccc
Size: unknown

Document data

ID: 2661480
Core: doc
Type: document

DTO data

{
    "id": "2661480",
    "sourceUrl": "https://catalog.archives.gov/id/2661480",
    "contentType": "document",
    "title": "Ford, Netta",
    "citationUrl": "https://catalog.archives.gov/id/2661480",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0549/40033_1521003240_0549-00769.jpg",
    "thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0549/40033_1521003240_0549-00769.jpg",
    "largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0549/40033_1521003240_0549-00769.jpg",
    "imageCount": 35,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}

Context sent to Scholar

Document identity

{
    "localId": "2661480",
    "label": "Ford, Netta",
    "core": "doc",
    "dtoType": "document",
    "citationUrl": "https://catalog.archives.gov/id/2661480"
}

Document source metadata

{
    "id": "2661480",
    "sourceUrl": "https://catalog.archives.gov/id/2661480",
    "contentType": "document",
    "title": "Ford, Netta",
    "citationUrl": "https://catalog.archives.gov/id/2661480",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0549/40033_1521003240_0549-00769.jpg",
    "thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0549/40033_1521003240_0549-00769.jpg",
    "largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0549/40033_1521003240_0549-00769.jpg",
    "imageCount": 35,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}

Document source extras

{
    "url": "https://catalog.archives.gov/id/2661480",
    "naId": 2661480,
    "coverageEndDate": {
        "day": 14,
        "logicalDate": "1945-08-14",
        "month": 8,
        "year": 1945
    },
    "coverageStartDate": {
        "day": 15,
        "logicalDate": "1917-10-15",
        "month": 10,
        "year": 1917
    },
    "levelOfDescription": "fileUnit",
    "recordType": "description",
    "ocrSource": "nara-archive"
}

Page context

{
    "seq": 4,
    "pageIndex": 0,
    "type": "photo",
    "url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0549/40033_1521003240_0549-00772.jpg",
    "mediaId": "49fbf8975fe0eccc",
    "ocrText": "F\n0\nT\na\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n17\nN\nNURSING SERVICES\nMILITARY SERIAL NUMBER\ne\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\n+\nNAME (Last, first, middle)\nTELEPHONE NO.\n+\nFord NETTA\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\n2718 york Pa\nPERMANENT ADDRESS (Street, city, zone, county, state)\n218 EARKET ST. York - York Co- PENNA.\nPRESENT ADDRESS (Street, city, zone, county, state)\n218 E MARKET St. YoRk- YoRK - PENNA.\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\n&\nLUGIA Ford YoRk-RD#6- - PENNA\nSISTER.\nDATE OF BIRTH (Month, day, year)\nAugust 31 1890\nSingle\nX\nMarried\nSeparated\nWidowed\nDivorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nNAME OF COLLEGE OR\nEnglish\nHIGH SCHOOL GRADUATE\nX\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nTEACHERS College.\nColumbia UNIVERSITY\nNEW YoRkCity NY\nB.S. PuL.HEAlTh\nBEdfoRdCollea\nLondon ENGIAN\nRsixg.\nT.C. QREELEY\ngrEElEy ColoRAVo\nsubject\nUCLA\nLos\nrelated to\nP.H. nursing\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\n8529 PENNA(1920215)\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nEX-DIRECTOR Visiting NERSE Assoc\nPublic HEAlth NURSING.\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nVisiting NURSE Assoc\nYo R K\nPENNA\nHEALTH\nIF 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 willing and able to\nserve if called on within the next 12 months.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO bIVE FOR THE NEXT 12 MONTHS\n1. Teach home\nYES\nNO\nAttend\nan offered. (Funds a available for\nInstructors training program chacter If\nYES\nNO\nnursing classes\nX\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\noffered, in preparation for service\nX\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter cóm-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, db you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS-\nTIME\nS IGNATURE\n6.29\nDATE\n/\nYOUR VALUE AS RED CROSS NURSE DEPENDS YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHFOLNESS\nAugust A 14 - 945 ON\nnetta Ford Rn.\nIN\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN IT PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\nXORK co. NURSE RECRUITMENT COMM,\nNURSE RECRUITMENT\n34 NORTH DUKE STREET\nCOMMITTEE\nYORK, PENNSYLVANIA\n78504M\nFORM 1045 Rev. July 1945"
}

Survos folio page chat

Ask the Scholar

Page image

OCR

Page data

Document data

Context sent to Scholar