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Madley, Gertrude

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SEP 11 1945 8-30-45 RED CROSS BADGE NUMBER AMERICAN RED CROSS H. D. 2012 2 NURSING SERVICES MILITARY SERIAL NUMBER ANNUAL QUESTIONNAIRE - 1945 CHECK IF YOUR LAST NAME HAS CHANGED NAME (Last, first, middle) TELEPHONE NO. Madley, Gertrude Ve 8461 IF MARRIED, GIVE MAIDEN NAME HUSBAND'S NAME PERMANENT ADDRESS (Street, city, zone, county, state) 14254 Strathmoor, Detroit 27 Michigan PRESENT ADDRESS (Street, city, zone, county, state) Same NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES RELATIONSHIP Mr.8 Mrs. G.T.Madley 14254 Strathmoor, De toit, 27 Michigan Parents DATE OF BIRTH (Month, day, year) December 29,1892 Single Married Separated Widowed Divorced WHAT LANGUAGES DO YOU SPEAK? YES NO English HIGH SCHOOL GRADUATE NAME OF COLLEGE OR DEGREE OR UNIVERSITY ATTENDED Wayne Un. LOCATION Detroit INCLUSIVE DATES Prepent DIPLOMA MAJOR Wayne University Detroit At present ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO REGISTERED? Michigan NURSES' ASSOCIATION? PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) SERVICE (Medicine, surgery, etc.) Hospital, Head Nurse Educational Department NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED CITY STATE Herman Kiefer Hospital Detroit 27 Michigan HEALTH IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY Good 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 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 Detroit 1. Teach home YES NO Attend an instructors' training program, if offered. (Funds are 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. Full time position and attending school DATE SIGNATURE September 10, 1945 YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPULNESS KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE COMMITTEE NAMED BELOW. ATTENTION Fill in committee name and address before sending questionnaire to nurse. SECRETARY AMERICAN RED CROSS NURSING SERVICE NURSE RECRUITMENT 2163 EAST JEFFERSON AVENUE COMMITTEE 78504M DETROIT 7, MICHIGAN FORM 1045 Rev. July 1945

Page data

Page
4
Source index
0
Type
photo
Media ID
d9777f4696d2610f
Size
unknown

Document data

ID
2661875
Core
doc
Type
document
DTO data 
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Context sent to Scholar

Document identity 
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Document source extras 
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    "naId": 2661875,
    "coverageEndDate": {
        "day": 10,
        "logicalDate": "1945-09-10",
        "month": 9,
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        "logicalDate": "1940-10-07",
        "month": 10,
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Page context 
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    "ocrText": "SEP 11 1945\n8-30-45\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\nH. D. 2012\n2\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first, middle)\nTELEPHONE NO.\nMadley, Gertrude\nVe 8461\nIF MARRIED, GIVE MAIDEN NAME\nHUSBAND'S NAME\nPERMANENT ADDRESS (Street, city, zone, county, state)\n14254 Strathmoor, Detroit 27 Michigan\nPRESENT ADDRESS (Street, city, zone, county, state)\nSame\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nMr.8 Mrs. G.T.Madley 14254 Strathmoor, De toit, 27 Michigan\nParents\nDATE OF BIRTH (Month, day, year)\nDecember 29,1892\nSingle\nMarried\nSeparated\nWidowed\nDivorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES NO\nEnglish\nHIGH SCHOOL GRADUATE\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED Wayne Un.\nLOCATION Detroit\nINCLUSIVE DATES Prepent DIPLOMA\nMAJOR\nWayne University\nDetroit\nAt present\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\nREGISTERED?\nMichigan\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nHospital, Head Nurse\nEducational Department\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nCITY\nSTATE\nHerman Kiefer Hospital\nDetroit 27 Michigan\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nGood\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 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\nDetroit\n1.\nTeach home\nYES\nNO\nAttend an instructors' training program, if offered. (Funds are 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.\nTeach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\nNO\n5.\nAssist 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.\nFull time position and attending school\nDATE\nSIGNATURE\nSeptember 10, 1945\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPULNESS\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN IT PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\nAMERICAN RED CROSS NURSING SERVICE\nNURSE RECRUITMENT\n2163 EAST JEFFERSON AVENUE\nCOMMITTEE\n78504M\nDETROIT 7, MICHIGAN\nFORM 1045 Rev. July 1945"
}