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I C K L PHYSICAL CONDITION MADIA3MA Have you been rejected for military service by: et The Army Nurse Corps? Yes No The Navy Nurse Corps? Yes No T When ? Why ? JAUKMA d Do you believe that you could now meet physical requirements for military service? Yes a No a What is your present physical condition? good. Overage for military service If any disabilities, please specify F e If you have had additional study since filing your 1943 Red Cross questionnaire give the type of course S and the length of time included: Now taking Foundations of Education 200Fa at Teachevs College Colombia Univensity, NewYork City If you did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions : How many years did you attend high school? One Two Three Four Graduated Yes No BEFORE entering training, how many years did you attend college' Did you have a five-year nursing course granting a bachelor's degree? Yes No AFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have: 1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in a hospital) in any of the following services? Course Number of months Experience Number of months Communicable disease nursing (includes tuberculosis) fon 11 Psychiatric nursing Operating room Anaesthesia 2. Any courses in a college or university ? (Check in box.) Less than one One Two Three Four Bachelor's Master's Ph.D. M.D. academic year year years years years degree degree degree degree In what major field was the above study ? 3. Experience or training in the public health field? Experience, 6 months or more Postgraduate course, 4 months or more Certificate Degree Jerda 7. Hichex R.n. the 8 1943, (signature) (date this form is filled in) YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE WORLD CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE NAMED BELOW. To be filled in by the committee before the questionnaire is sent to the nurse. NEW YORK CHAPTER NEW YORK, N. Y. (Name of the committee to whom this questionnaire is to be returned) (street) (city) (state)

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    "ocrText": "I\nC\nK\nL\nPHYSICAL CONDITION\nMADIA3MA\nHave you been rejected for military service by:\net\nThe Army Nurse Corps? Yes\nNo\nThe Navy Nurse Corps? Yes\nNo\nT\nWhen ?\nWhy ? JAUKMA\nd\nDo you believe that you could now meet physical requirements for military service? Yes\na\nNo\na\nWhat is your present physical condition?\ngood.\nOverage for military service\nIf any disabilities, please specify\nF\ne\nIf you have had additional study since filing your 1943 Red Cross questionnaire give the type of course\nS\nand the length of time included: Now taking Foundations of Education 200Fa at Teachevs College\nColombia Univensity, NewYork City\nIf\nyou did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions :\nHow many years did you attend high school? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBEFORE entering training, how many years did you attend college'\nDid you have a five-year nursing course granting a bachelor's degree? Yes\nNo\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have:\n1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in a\nhospital) in any of the following services?\nCourse Number of months\nExperience\nNumber of months\nCommunicable disease nursing\n(includes tuberculosis)\nfon\n11\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Any courses in a college or university ? (Check in box.)\nLess than one\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.D.\nacademic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was the above study ?\n3. Experience or training in the public health field? Experience, 6 months or more\nPostgraduate course, 4 months or more\nCertificate\nDegree\nJerda 7. Hichex R.n.\nthe 8 1943,\n(signature)\n(date this form is filled in)\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU.\nTHE WORLD CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU FOR FILLING\nIN THIS QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE NAMED BELOW.\nTo be filled in by the committee before the questionnaire is sent to the nurse.\nNEW YORK CHAPTER\nNEW YORK, N. Y.\n(Name of the committee to whom this questionnaire is to be returned)\n(street)\n(city)\n(state)"
}