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0
1e
JAN 4 1944
Mr
1045
AMERICAN RED CROSS
NURSING SERVICE
ANNUAL QUESTIONNAIRE-1944
R
101
Red Cross
Badge number 16105
bees
If you have changed your last name
+
since contacting us, please check here.
Name in full
Kohler
(last)
(first) Ruby Esther
Tel. No. 2651
(middle)
If
married, give maiden name Ruby E. Ward Date of birth April 39,1895
a
E
Marital status Married
Husband's name Delphin W. Kohler
(single, married, widowed, divorced)
CA
Permanent address
st.Joseph
Stearns
<
Minn.
+
(street)
(city)
(county)
(state)
t.
e
Present address
1.
",
",
(street)
(city)
(county)
(state)
Notify national headquarters immediately if you change your address.
a
Give name and address of nearest relative or friend in the United States:
Dr. D. W, Kohler
st Joseph, Minn.
Husband
(name)
(address)
(relationship)
Are you employed in nursing at the present time? Yes
No
If employed, check the type of work you are doing and fill in below the title of your position and the name
and address of the agency or institution:
Institutional
Public Health
Industrial
Private Duty
Other
If not employed, what type of nursing would you prefer to render? Hospital
IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND
ANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX
AVAILABILITY FOR SERVICE WITH THE ARMED FORCES
Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.
For assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She
may be single or married, but if married she must have no dependents under 14 years of age.
If eligible and not already in service with the armed forces, are you:
Immediately available?
Available in the near future?
(specify date)
Not available, for the following reason ?
past a ge limit.
(specify)
Do you have any dependents under 14 years of age? Yes
No
AVAILABILITY FOR SERVICE WITH CIVILIANS
If qualified and not already doing so, will you be available:
6
To teach Red Cross Home Nursing classes?
To teach volunteer nurse's aides?
o
To take a Red Cross emergency assignment?
To serve overseas caring for civilians?
of
Have you ever served with the Red Cross in a disaster? Yes
No
If yes, specify type of disaster
Served 18 mo as world
war I. - 6mo. over. seds.
Page data
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Document data
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- Core
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- Type
- document
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Context sent to Scholar
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