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Hobein, Cora Flossie

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I 5 e. RED CROSS BADGE NUMBER AMERICAN RED CROSS NURSING SERVICES MILITARY SERIAL NUMBER ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED 0 NAME (Last, first, middle) NO. Hobein, Cora FLossie IF MARRIED, GIVE MAIDEN NAME HUSBAND'S NAME a PERMANENT ADDRESS (Street, city, zone, county, state) 400 grove Ave. Barrington, Cook Co. ILLinois PRESENT ADDRESS (Street, city, zone, county, state) Same as above NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES RELATIONSHIP 0 Benj. H , Hobein Brother S DATE OF BIRTH (Month, day, year) Jan. 9, 1884 Single x Married Separated Widowed Divorced S WHAT LANGUAGES DO YOU SPEAK? YES NO NAME English OR Some german, Chenise, HIGH SCHOOL GRADUATE DEGREE OR UNIVERSITY ATTENDED LOCATION INCLUSIVE DATES DIPLOMA MAJOR short Courses only at Teaches college Columbia demensity new York, Penboy College, nasbville, Tenn. ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? X Illinois NURSES' ASSOCIATION? * PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) SERVICE (Medicine, surgery, etc.) Retired NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED CITY STATE HEALTH IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY Fair 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 billing and able to serve if called on iithin the next 12 ths. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS Chicago 1. Teach home YES NO Attend an Vinstructors' training program, if offered. (Funds a available for YES NO nursing classes 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 3. Teach nurse's YES NO 4. Accept membership on chapter com- 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, do you anticipate that YES NO you will be able to serve at some time in the future? IF UNABLE TO SERVE, GIVE MAJOR REASONS. DATE multifilitity of other duties and S IGNATURE health that is only fair YOUR VALUE CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS IN august AS RED 291945 Cora Fl. Hobein KEEPING US INFORMAD OF YOUR ADDRESS. PLEASE PILL IN THIS QUESTIONNAIRE AND RETURN If PROMPTLY TO THE COMMITTEE NAMED BELOW. MISS JULIA A. MacNEILL R.N. ATTENTION Fill in committee name and address before sending questionnaire to nurse. SECRETARY SECRETARY NURSE RECRUITMENT 529 so. WABASH AVE. COMMITTEE CHICAGO 6, ILLINOIS 78504M FORM 1045 Rev. July 1945

Page data

Page
40
Source index
0
Type
photo
Media ID
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Size
unknown

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2661648
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    "ocrText": "I\n5\ne.\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\n0\nNAME (Last, first, middle)\nNO.\nHobein, Cora FLossie\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\na\nPERMANENT ADDRESS (Street, city, zone, county, state)\n400 grove Ave. Barrington, Cook Co. ILLinois\nPRESENT ADDRESS (Street, city, zone, county, state)\nSame as above\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\n0\nBenj. H , Hobein\nBrother\nS\nDATE OF BIRTH (Month, day, year)\nJan. 9, 1884\nSingle\nx\nMarried\nSeparated\nWidowed\nDivorced\nS\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nNAME\nEnglish OR Some german, Chenise,\nHIGH SCHOOL GRADUATE\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nshort Courses only at Teaches college Columbia demensity new York,\nPenboy College, nasbville, Tenn.\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nX\nIllinois\nNURSES' ASSOCIATION?\n*\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nRetired\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nFair\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 billing and able to\nserve if called on iithin the next 12 ths.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\nChicago\n1. Teach home\nYES\nNO\nAttend an Vinstructors' training program, if offered. (Funds a available for\nYES\nNO\nnursing classes\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\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\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, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nIF UNABLE TO SERVE, GIVE MAJOR REASONS.\nDATE\nmultifilitity of other duties and S IGNATURE health that is only fair\nYOUR VALUE CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAITHPOLNESS IN\naugust AS RED 291945\nCora Fl. Hobein\nKEEPING US INFORMAD OF YOUR ADDRESS. PLEASE PILL IN THIS QUESTIONNAIRE AND RETURN If PROMPTLY\nTO THE\nCOMMITTEE NAMED BELOW.\nMISS JULIA A. MacNEILL R.N.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\nSECRETARY\nNURSE RECRUITMENT\n529 so. WABASH AVE.\nCOMMITTEE\nCHICAGO 6, ILLINOIS\n78504M\nFORM 1045 Rev. July 1945"
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