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(p) Names of all relatives nearer than second cousins in the war service of the United States Government.
Sister, Mergaret Gray, U. S. Red Cross
5. If foreign born, give date and court of your naturalization
British subject
Single
None
6. Single, married, widow, or widower
(a) Number of dependents
(b) Full name and address of nearest relative or friend
Mother, Mrs. John Wm. Gray
Doriedaie, Moy Co.1 Tyrone, Ireland. In the .Mrs.Snedden,
1564 Crotona Park,
M.Y.City,
(c) Full name of wife before marriage; or husband
(d) Birthplace of wife or husband
(e) Nationality of wife or husband
(f) Birthplace and nationality of father of wife or husband
(g) Birthplace and nationality of mother of wife or husband
7. Kind of service preferred. (Specify.)
Surgical
Yes
Any
8. Would you enter foreign service?
(a) If so, in what country or countries?
(b) Describe fully any experiencen.you have ever had in service of the American Red Cross.
No.
9. Would you serve without pay and defray all of your necessary expenses?
(a) With only expenses defrayed for you?
(b) If not, what minimum salary would you require in addition to the defraying of your expenses?
The salary that is paid to Red Gross nurses
IO. What University or College attended? None
Year graduated
II. Can you speak French fluently? No.
(a) If not, to what degree, if any?
(b) Can you translate French easily?
None
(c) If not, to what degree, if any?
I2. What other foreign languages do you speak?
(a) State extent of your knowledge of each
13. As references, give names and addresses of three American citizens not related to you.
Dr. E. Focte, U.S.N., 119 E. 40th St., N. Y. City.
Dr. Wm. S. Bainbridge U. S. N., 34 Gremmercy Park, N.Y.City
Mrs. Herry People, 301 East No . . City.
14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations
based on race. Done nationality, etc., to which you belong or have at any time belonged, since August I, 1914.
None
15. If enrolled in service, name earliest date you could take up work
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
Sara M. Gray
Signature.
Division Personnel Committee examining application
Date of report
Report of Committee. (Be specific.)
Date of receipt at National Headquarters
Checked by
Comments:
Page data
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Document data
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- 2661552
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "(p) Names of all relatives nearer than second cousins in the war service of the United States Government.\nSister, Mergaret Gray, U. S. Red Cross\n5. If foreign born, give date and court of your naturalization\nBritish subject\nSingle\nNone\n6. Single, married, widow, or widower\n(a) Number of dependents\n(b) Full name and address of nearest relative or friend\nMother, Mrs. John Wm. Gray\nDoriedaie, Moy Co.1 Tyrone, Ireland. In the .Mrs.Snedden,\n1564 Crotona Park,\nM.Y.City,\n(c) Full name of wife before marriage; or husband\n(d) Birthplace of wife or husband\n(e) Nationality of wife or husband\n(f) Birthplace and nationality of father of wife or husband\n(g) Birthplace and nationality of mother of wife or husband\n7. Kind of service preferred. (Specify.)\nSurgical\nYes\nAny\n8. Would you enter foreign service?\n(a) If so, in what country or countries?\n(b) Describe fully any experiencen.you have ever had in service of the American Red Cross.\nNo.\n9. Would you serve without pay and defray all of your necessary expenses?\n(a) With only expenses defrayed for you?\n(b) If not, what minimum salary would you require in addition to the defraying of your expenses?\nThe salary that is paid to Red Gross nurses\nIO. What University or College attended? None\nYear graduated\nII. Can you speak French fluently? No.\n(a) If not, to what degree, if any?\n(b) Can you translate French easily?\nNone\n(c) If not, to what degree, if any?\nI2. What other foreign languages do you speak?\n(a) State extent of your knowledge of each\n13. As references, give names and addresses of three American citizens not related to you.\nDr. E. Focte, U.S.N., 119 E. 40th St., N. Y. City.\nDr. Wm. S. Bainbridge U. S. N., 34 Gremmercy Park, N.Y.City\nMrs. Herry People, 301 East No . . City.\n14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations\nbased on race. Done nationality, etc., to which you belong or have at any time belonged, since August I, 1914.\nNone\n15. If enrolled in service, name earliest date you could take up work\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nSara M. Gray\nSignature.\nDivision Personnel Committee examining application\nDate of report\nReport of Committee. (Be specific.)\nDate of receipt at National Headquarters\nChecked by\nComments:"
}