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Markley, Veta Blanche

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M ar K FORM 1045 REV. JAN 1941 e AMERICAN RED CROSS FEB 151941 + NATIONAL HEADQUARTERS WASHINGTON, D. c. ROOM L Name in full markley (SURNAME) Vetu Blanche Year of Birth 1892 e (FIRST) (MIDDLE) Husband's name FEB 271911 to Permanent address P.B.Bay * 48 west Point Hancack Illinois (STREET) (CITY) (COUNTY) (STATE) Probable address B for the next year U.S (STREET) Viterano Hospital (CITY) Kropinally (COUNTY) neuron Jassa - (STATE) Telephone number Know ville 552 a (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: 5 C mis (NAME) Lassaa E. markley (RELATIONSHIP) mother West Paint Illinois in (ADDRESS) PRESENT EMPLOYMENT (check below) e Name of agency or institution with which employed Institutional Public Health Private duty Other (write in) Government Service: Army U.S.P.H. Service. Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR RESPONSIBILITIES Adminis- Super Teach- General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If absalutely neursany If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? Present physical condition Good il Badge No. 17177 Current date February 251941 NATONAOHEADQUARTERS. a Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enrollment will be removed from our active files.

Page data

Page
28
Source index
0
Type
photo
Media ID
c9f3aaff16237d61
Size
unknown

Document data

ID
2661887
Core
doc
Type
document
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Context sent to Scholar

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    "ocrText": "M\nar\nK\nFORM 1045\nREV. JAN 1941\ne\nAMERICAN RED CROSS\nFEB 151941\n+\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\nROOM\nL\nName in full markley (SURNAME)\nVetu\nBlanche\nYear of Birth 1892\ne\n(FIRST)\n(MIDDLE)\nHusband's name\nFEB 271911\nto\nPermanent address P.B.Bay * 48 west Point Hancack\nIllinois\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address\nB\nfor the next year U.S (STREET) Viterano Hospital (CITY) Kropinally (COUNTY) neuron Jassa\n-\n(STATE)\nTelephone number Know ville\n552\na\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\n5\nC\nmis (NAME) Lassaa E. markley (RELATIONSHIP) mother West Paint Illinois\nin\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\ne\nName of agency or institution with which employed\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service.\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis-\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment\ntration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf absalutely\nneursany\nIf not now employed would you\naccept nursing work? Full-time?\nYes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick?\nPresent physical condition Good\nil\nBadge No. 17177\nCurrent date February 251941\nNATONAOHEADQUARTERS.\na\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files."
}