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Laxton, M. Ruth
Badge # H.D.
RED CROSS BADGE NUMBER
AMERICAN RED CROSS
NURSING SERVICES
MILITARY SERIAL NUMBER
ANNUAL.QUESTIONNAIRE - 1945
2
CHECK IF YOUR LAST NAME HAS CHANGED
NAME (Last, first, middle)
NO.
Laxton, M. Ruth
MAin 2521, Exttl3
IF MARRIED, GIVE MAIDEN NÁME
HUSBAND'S NAME
Moravian Falls, North Carolina (wilkes County)
PERMANENT ADDRESS (Street; city, zone, county, state)
PRESENT ADDRESS (Street, city, zone, county, state)
American Red Cross Southeastern A rea, 230 Spring Street, N.W., Atlanta, Ga.
Mrs. W. A. Laxton, Moravian Falls, North Carolina
Mother
NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES
RELATIONSHIP
DATE OF BIRTH (Month, day, year)
Single
Married
November 7. 1902
x
Separated
Widowed
Divorced
WHAT LANGUAGES DO YOU SPEAK?
YES
NO
HIGH SCHOOL GRADUATE
English
X
NAME OF COLLEGE OR
1928
DEGREE OR
UNIVERSITY ATTENDED Peabody Nashville, DATES 1938
DIPLOMA
B.S.
MAJOR
PHN
1 course in 1942
Completed work for certificate in public health 1931; B.S. degree in Nursing
Education 1934; graduate study one quarter 1938 & 1 course in public health
(Social Work
problems in 1942; also 1 course in social service work at Nashville School of
ARE YOU CURRENTLY
YES
NO
REGISTERED IN (State)
ARE YOU CURRENTLY A MEMBER OF THE AMERICAN
YES
NO
REGISTERED?
Tennessee
NURSES' ASSOCIATION?
PRESENT EMPLOYMENT If not employed, check
/
POSITION TITLE (H.N., P.D., inst., staff nurse, etc.)
SERVICE (Medicine, surgery,
Assistant Director Nursing Service
NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED
CITY
STATE
American Red Cross, Southeastern area
Atlanta
HEALTH
IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITI
Good
In
VOLUNTEER SERVICE
The purpose of the following statements is to identify the nurses who can be counted upon to respond to a
NJ
call
to participate in a Red Cross chapter program. Please check the "Yes" box only fyourare 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 LIVE FOR THE NEXT 12 MONTHS
Atlanta Chaptor Atlanta Georgia
1. Teach home
YES
NO
Attend an instructors training program, 1f offered. (Funds are available for
YES
NO
nursing classes
training home nursing instructors. See local chapter.)
x
2. Serve in case
YES
NO
only in home community
Attend disaster Institutes, if
YES
NO
of disaster
X
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, Yas 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?
OL-
no
IF UNABLE TO SERVE, GIVE MAJOR REASONS-
the N N 18
DATE
S IGNATURE
August 10, 1945
Ruth Cuttan
YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAPERPOLNESS
IN
KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO INE
COMMITTEE NAMED BELOW.
ATTENTION
Fill in committee name and address before sending questionnaire to nurse.
SECRETARY
children
NURSE RECRUITMENT
NATIONAL HEADOUARTERS
COMMITTEE
78504M
FORM 1045 Rev. July 1945
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Document data
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"ocrText": "Laxton, M. Ruth\nBadge # H.D.\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL.QUESTIONNAIRE - 1945\n2\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first, middle)\nNO.\nLaxton, M. Ruth\nMAin 2521, Exttl3\nIF MARRIED, GIVE MAIDEN NÁME\nHUSBAND'S NAME\nMoravian Falls, North Carolina (wilkes County)\nPERMANENT ADDRESS (Street; city, zone, county, state)\nPRESENT ADDRESS (Street, city, zone, county, state)\nAmerican Red Cross Southeastern A rea, 230 Spring Street, N.W., Atlanta, Ga.\nMrs. W. A. Laxton, Moravian Falls, North Carolina\nMother\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nDATE OF BIRTH (Month, day, year)\nSingle\nMarried\nNovember 7. 1902\nx\nSeparated\nWidowed\nDivorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nHIGH SCHOOL GRADUATE\nEnglish\nX\nNAME OF COLLEGE OR\n1928\nDEGREE OR\nUNIVERSITY ATTENDED Peabody Nashville, DATES 1938\nDIPLOMA\nB.S.\nMAJOR\nPHN\n1 course in 1942\nCompleted work for certificate in public health 1931; B.S. degree in Nursing\nEducation 1934; graduate study one quarter 1938 & 1 course in public health\n(Social Work\nproblems in 1942; also 1 course in social service work at Nashville School of\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nTennessee\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\n/\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery,\nAssistant Director Nursing Service\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nAmerican Red Cross, Southeastern area\nAtlanta\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITI\nGood\nIn\nVOLUNTEER SERVICE\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a\nNJ\ncall\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only fyourare 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 LIVE FOR THE NEXT 12 MONTHS\nAtlanta Chaptor Atlanta Georgia\n1. Teach home\nYES\nNO\nAttend an instructors training program, 1f offered. (Funds are available for\nYES\nNO\nnursing classes\ntraining home nursing instructors. See local chapter.)\nx\n2. Serve in case\nYES\nNO\nonly in home community\nAttend disaster Institutes, if\nYES\nNO\nof disaster\nX\nIn other communities\noffered, in preparation for service\nx\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter cóm-\nYES\nNO\n5\nAssist with other chapter\nYES\nNO\naide classes\nmittee should services be needed\nprograms, Yas needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES\nNO\nyou will be able to serve at some time in the future?\nOL-\nno\nIF UNABLE TO SERVE, GIVE MAJOR REASONS-\nthe N N 18\nDATE\nS IGNATURE\nAugust 10, 1945\nRuth Cuttan\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR PAPERPOLNESS\nIN\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO INE\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\nchildren\nNURSE RECRUITMENT\nNATIONAL HEADOUARTERS\nCOMMITTEE\n78504M\nFORM 1045 Rev. July 1945"
}