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{
    "localId": "2662034",
    "label": "Neumann, Kathryn M.",
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    "citationUrl": "https://catalog.archives.gov/id/2662034"
}

{
    "id": "2662034",
    "sourceUrl": "https://catalog.archives.gov/id/2662034",
    "contentType": "document",
    "title": "Neumann, Kathryn M.",
    "citationUrl": "https://catalog.archives.gov/id/2662034",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
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{
    "url": "https://catalog.archives.gov/id/2662034",
    "naId": 2662034,
    "coverageEndDate": {
        "day": 22,
        "logicalDate": "1943-12-22",
        "month": 12,
        "year": 1943
    },
    "coverageStartDate": {
        "day": 8,
        "logicalDate": "1918-04-08",
        "month": 4,
        "year": 1918
    },
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    "recordType": "description",
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{
    "seq": 87,
    "pageIndex": 0,
    "type": "photo",
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    "ocrText": "ORIGINAL\nForm 200\nRevised 5-18-18\n.\nAMERICAN RED CROSS\nSERVICE APPLICATION FORM\nApplicants for Nursing and Medical Service must accompany this form with special forms supplied by the Nursing Service and the Medical Service Bureaus\nof the American Red Cross.\nThese questions must be answered fully or the application will not be acted upon.\nDate January 22 - 1920\nI. Name in full adtreyn Lunyn lung delien hours. Telephone No. Styoesant2329\n2.\nPermanent\nAddress Lynig Street) In Hospital 2nd (City) avery ll (State) hewyork\n3. Temporary Address, if any, to what date\nScycose\nas above until ) feeded\n(Number and Street)\nH February 20 -1920 (State)\n4. (a) If any changes of residence since August I, 1914, give these in full with dates. Overseas frum\n(b) What is your present business or profession graduate\n24-1914 then cause hure new your\nName of firm or corporation with which associated\nDuration of Service\n6 mouths\nLyury Ins Hospectal new facticity\nPresent Capacity Head nurce\n5.\nDate of Birth 1593 (Year) march (Month) 24 (Day) (a) Place of birth ampreas Ontaw Canada\nBusiness Address 17 to (Number and Street) 2ndave new (City) yortility\n(State)\n(b) If of foreign birth, when and where did you arrive in the United States? september 1914\n6. If\nforeign born, give date and court of your naturalization... not naturalyed\n7. (a) Single, married or widower\nSingle\n(a) Number of Dependents home\n(b) Full name of wife before marriage; or husband\n(c) Birthplace of wife or husband\nNationality of wife or husband\n(d) Birthplace and nationality of father of wife or husband\n(e)\nBirthplace and nationality of mother of wife or husband\n(f) Full name of father\nRobert Fuderich humant\n(g) Birthplace and nationality of father\nOxtano Cauada\n(h) If father foreign born, whether naturalized, when and where\nVEN\n1107\nstront\n(b).\n(i) Full maiden name of mother\nElezgheth Wagonblass\n(d)\n(j) Birthplace and nationality of mother. Compuar Ontare Cauada\nanivil\n101\n(k)\nIf mother foreign born, whether naturalized, when and where\n(molim) 101 nom 10\n(I) Full name and nationality of paternal grandfather\ngeneracy\n(m) Full maiden name and nationality of paternal grandmother. generacy 28010 bluow\nTI (s)\n(n) Full name and nationality of maternal grandfather\nau ballonas il\nbuts\ngermany\nbloow BOV\n(o)\nFull maiden name and nationality of maternal grandmother germany\ndetermined to\n8. (a) What previous business or professional experience have you had, stating nature, places and principal dates\nthereof; the names of the firms or corporations with which you were associated. Head nurse at\nability Hosp abush Pa april 1917 to august1917\nPrivate duty fm that have tuns wetel hourches 1915\nWent overseas with Recentral Rhd Crass untel July1914\nat Lyung has Hospital from august 1919 multer Feb 19 20\nbecause\nand\nabout\n,\n(b) Have you or your wife (or husband) at any time had business or professional relationships with subjects,\nresiding abroad, of countries now at war with the United States or its allies.\nUN\nState the character and extent of such business or professional intercourse\n-\nane\n9. (a) Have you ever lived in Europe? lites If so, give names of European countries in which you have resided,\nbanile\nand respective dates of residence in each\nOnly with Red eroso\n(b) Has your wife or husband ever lived in Europe?\n(c) If so, give names of European countries in which he or she has resided, and respective dates of residence\nin each\nstrette)\n(d) Have you Wath ever traveled anuraction in Europe? yes Reduces If so, name countries visited, with respective dates of visits.\nada\n(c) Has your wife or husband ever traveled in Europe?\nIf so, name countries which were visited,\nwith respective dates of visits\n$\nSince August I, 1914, have you or your wife (or husband) applied for a United States passport? us\nIf so, state whether application was granted, denied or withdrawn\nIO. (a) Have you ever been physically examined for war service?\nyes\n(b) If so2 state when, where, and if possible the name and address of the examining physician. april 1915\nby Dr m II huffer w quests Purica\n(c) Were you accepted, rejected, or is the result of the examination pending? Ecopted\n11.\nState fully your participation in the military service of the United States or its allies in the present war.\nseft newyork how 30-1915 and arred m Parip Jane 1919 was\nwith Oblistice Communican untel tune 1919\n12.\nWhat\nprevious military service have you had? State the name of the organization with which you were enrolled,\nand in what branch of service, and-dates of service. murican Red Crown\n13. (a) If on June 5, 19170you were under 31 years of age, state the official name and address of the Local Board\nnursing in Calistrus Communion\nwith which you were registered, and the Class and Division in which you have been placed by such Local\nBoard\nhird not register\n(b) If classified in Class 5, Division G, what was found to be your physical disability?\n-\n(c) Is this disability obvious to the casual observer\n14. (a) Names of all relatives by blood or marriage nearer than second cousins residing in Europe. name\n(b) State the last-known place of residence of each of such persons and the business or profession in which each\nof them was engaged\n(c) Which of said relatives, if any, are now or have been in the military service of Germany, Austria, Bulgaria\nor Turkey?"
}