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    "localId": "6706125",
    "label": "Annual Questionnaire of 1944",
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    "id": "6706125",
    "sourceUrl": "https://catalog.archives.gov/id/6706125",
    "contentType": "document",
    "title": "Annual Questionnaire of 1944",
    "description": "This is Agnes Stanfield's completed annual questionnaire from 1944 in regards to the Nursing Service at the American Red Cross.",
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        "Records of the American National Red Cross",
        "Historical Nurse Files"
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    "levelOfDescription": "item",
    "productionDates": [
        {
            "day": 9,
            "logicalDate": "1943-12-09",
            "month": 12,
            "year": 1943
        }
    ],
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    "type": "document",
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    "ocrText": "FORM 1045\nREV. OCT. 1943\nAMERICAN RED CROSS\nNURSING SERVICE\nJAN 25 1944\nANNUAL QUESTIONNAIRE-1944\nRed Cross\nIf you have changed your last name\nBadge number 17500\nsince contacting us, please check here.\nName in full Stanfield. Agnes Hannah\nTel. No.\n(last)\n(first)\n(middle)\nIf married, give maiden name von Kurowsky-\nDate of birth Jan. 1892-\nMarital status married-\nHusband's name William C.Stanfieldjr.\n(single, married, widowed, divorced)\nPermanent address 80 (street) East main (city) st. middletown. (county) OrangeE. (state) n. of.\nPresent address 149 East 40th st. newyork 16. N.Y-\n(street)\n(city)\n(county)\n(state)\nNotify national headquarters immediately if you change your address.\nGive name and address of nearest relative or friend in the United States:\nWm. Stanfield in Cm'/c U.S.N. Camp Bradford nortork.Va. husband -\n(name)\n(address)\n(relationship)\nAre you employed in nursing at the present time? Yes\nNo\nIf employed, check the type of work you are doing and fill in below the title of your position and the name\nand address of the agency or institution:\nInstitutional\nPublic Health\nIndustrial\nPrivate Duty\nOther\namer. Red Cross Blood Donors's Service-\n37th St. 5th Gae. new york-n.y.\nIf not employed, what type of nursing would you prefer to render?\nI\nIT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND\nANSWER BY PLACING A CHECK IN THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must be physically fit, single, and under 40.\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be physically fit and under 45. She\nmay be single or married, but if married she must have no dependents under 14 years of age.\nIf eligible and not already in service with the armed forces, are you:\nImmediately available?\nAvailable in the near future?\n(specify date)\nNot available, for the following reason? Over age\n(specify)\nDo you have any dependents under 14 years of age? Yes\nNo\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nIf qualified and not already doing so, will you be available:\n1\nTo teach Red Cross Home Nursing classes?\n-\nTo teach volunteer nurse's aides?\nTo take a Red Cross emergency assignment? lfes-\nTo serve overseas caring for civilians?\n-\nHave you ever served with the Red Cross in a disaster? Yes\nNo\nIf yes, specify type of disaster\nPHYSICAL CONDITION\nИАСІЯЗМА\nHave you been rejected for military service by:\nThe Army Nurse Corps? Yes\nNo\nThe Navy Nurse Corps? Yes\nNo\nWhen?\nWhy?\nDo you believe that you could now meet physical equirements for military service? Yes\nNo\nWhat is your present physical condition?\nIf any disabilities, please specify\nIf you have had additional study since filing your 1943 Red Cross questionnaire give the type of course\nand the length of time included:\nIf you did NOT file a Red Cross annual questionnaire in 1943 please answer the following questions:\nHow many years did you attend high school? One\nTwo\nThree\nFour\nGraduated\nYes\nNo\nBEFORE entering training, how many years did you attend college\nDid you have a five-year nursing course granting a bachelor's degree? Yes\nNo\nAFTER GRADUATION FROM YOUR SCHOOL OF NURSING, did you have:\n1. A postgraduate course (at least 3 months in a hospital) or experience (at least 6 months in a\nhospital) in any of the following services?\nCourse\nNumber of months\nExperience\nNumber\nof\nmonths\nCommunicable disease nursing\n(includes tuberculosis)\nPsychiatric nursing\nOperating room\nAnaesthesia\n2. Any courses in a college or university? (Check in box.)\nLess than one\nOne\nTwo\nThree\nFour\nBachelor's\nMaster's\nPh.D.\nM.D.\nacademic year\nyear\nyears\nyears\nyears\ndegree\ndegree\ndegree\ndegree\nIn what major field was the above study ?\n3. Experience or training in the public health field? Experience, 6 months or more\nPostgraduate course, 4 months or more\nCertificate\nDegree\nagues H. Stanfield (signature)\nDec. 9-1943\n(date this form is filled in)\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU.\nTHE WORLD CRISIS EMPHASIZES THIS NEED MORE THAN EVER. THANK YOU FOR FILLING\nIN THIS QUESTIONNAIRE AND RETURNING IT PROMPTLY TO THE COMMITTEE NAMED BELOW.\nTo be filled in by the committee before the questionnaire is sent to the nurse.\nNURSE\nRECRUITMENT\nNEW YORK CHAPTER\n(Name of the committee to whom this questionnaire is to be returned). YORK, N.Y.\n(street)\n(city)\n(state)"
}