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12. (a) Have you ever been physically examined for war service or life insurance?
yes
If so, Tate when, where, and, if possible, the name and address of the examiner
(b) D Louis p. Hammar Battimore, membland
(c) Were you accepted or rejected?
accepted
13
What previous military service have you had? State name of organization with which you were enrolled, and in what branch of service,
and dates of
april 1918 Febr 96 1919
service. Buse Hospital 114 a.e.g. To ancy morning -
R
14. (a) Would you enter foreign service?
yes
a
(b) In any country or countries where required?
yes
t
15. State briefly familiarity with foreign countries by residence or travel
16. Advise what foreign languages you speak, read or translate, and degree of fluency
CL
17. Give names and address of all patriotic, beneficial and social organizations to which belong
18. (a) Kind of service preferred
american Region Post 44 you classed
thrist
is
(b) What do you consider your qualifications particularly fitting you for this service
19. lf an applicant for medical or dental service, state
(a) What hospital service as interne.
(b) What hospital appointments at present
(c) How long have you been in practice?
(d) In what State are you licensed to practice?
(e) Have you specialized in any branch? If so, what?
(f) Are you a member of Medical Officers' Reserve Corps?
Rank
20. (a) Would you serve without pay and defray all your necessary personal expenses?
(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red Cross:
Living expenses abroad (in cases of nurses and nurses' aides)
Living expenses prior to departure.
Uniform and equipment, if any required
Transportation in United States and return
Transportation overseas and return
(c) If Red Cross made adequate allowance for your expenses in the service, as per 20-b, what specific amount would you require in additon?
(b) Length of term for which you could serve
(Subject to earlier termination in discretion of American Red Cross. Nurses must agree to serve one year, if required that long.)
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
(Signed) Rush Christiana natesbarry, Rst
zaner pe
BEVAICE
the
VWEHICWA BED CHO22
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Document data
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"ocrText": "12. (a) Have you ever been physically examined for war service or life insurance?\nyes\nIf so, Tate when, where, and, if possible, the name and address of the examiner\n(b) D Louis p. Hammar Battimore, membland\n(c) Were you accepted or rejected?\naccepted\n13\nWhat previous military service have you had? State name of organization with which you were enrolled, and in what branch of service,\nand dates of\napril 1918 Febr 96 1919\nservice. Buse Hospital 114 a.e.g. To ancy morning -\nR\n14. (a) Would you enter foreign service?\nyes\na\n(b) In any country or countries where required?\nyes\nt\n15. State briefly familiarity with foreign countries by residence or travel\n16. Advise what foreign languages you speak, read or translate, and degree of fluency\nCL\n17. Give names and address of all patriotic, beneficial and social organizations to which belong\n18. (a) Kind of service preferred\namerican Region Post 44 you classed\nthrist\nis\n(b) What do you consider your qualifications particularly fitting you for this service\n19. lf an applicant for medical or dental service, state\n(a) What hospital service as interne.\n(b) What hospital appointments at present\n(c) How long have you been in practice?\n(d) In what State are you licensed to practice?\n(e) Have you specialized in any branch? If so, what?\n(f) Are you a member of Medical Officers' Reserve Corps?\nRank\n20. (a) Would you serve without pay and defray all your necessary personal expenses?\n(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red Cross:\nLiving expenses abroad (in cases of nurses and nurses' aides)\nLiving expenses prior to departure.\nUniform and equipment, if any required\nTransportation in United States and return\nTransportation overseas and return\n(c) If Red Cross made adequate allowance for your expenses in the service, as per 20-b, what specific amount would you require in additon?\n(b) Length of term for which you could serve\n(Subject to earlier termination in discretion of American Red Cross. Nurses must agree to serve one year, if required that long.)\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\n(Signed) Rush Christiana natesbarry, Rst\nzaner pe\nBEVAICE\nthe\nVWEHICWA BED CHO22"
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