Application forms
Found in 64 Collections and/or Records:
Adolph Schkolnick's Application for Admission to JCRS, 1911 October 9
Anna Rosenberg's Application for Admittance to JCRS, 1911 August 8
Anna Rosenberg's handwritten application for admittance to JCRS. Includes information such as age (38), and place of birth (Ostrova). She was married and had two children, and her nearest relatives were her husband and brother in Boulder, Colo. The backside is blank.
Application for Compensation, 1955 April
Application from the Compensation Office headed: "Application On the basis of the federal supplementary security for compensation for victims of national socialist persecution." Application goes along with the Notice of Compensations.
Bailie Siegel's Application for Admittance to JCRS, 1911 October 11
Bailie Siegel's handwritten application for admittance to JCRS. Includes information such as age (33), place of birth (Russia), and occupation (housewife). She was married, had 2 children, and her nearest relative was her husband, in Chicago, Ill. On the back side it reads she was admitted on November 16, 1911, and left on February 01, 1912.
Banjamin Wigatow's Application for Admission to JCRS, 1911 September 18
Application form of Banjamin Wigatow for admission as a patient to the Jewish Consumptives' Relief Society. He was age 21 at the time of the application. He was born in Russia and immigrated to the United States in 1906. He lived in New York City when he contracted tuberculosis. He had been sick for five months upon his arrival to Denver, Colorado. His occupation states he worked as a cigar maker. The verso of the application does not state any admission or discharge dates.
Benjamin Fleischman's Application for Admittance to JCRS, 1911 August 9
Benjamin Fleischman's Application for Admittance to JCRS. Includes information such as age (25), place of birth (Russia), and occupation (butcher). He was single and his nearest relatives were his mother in N. J., and his father in Denver. On the backside it reads he was admitted on October 3, 1911, and died on October 24, 1911.
Benjamin Wigatow's Application for Admission to JCRS, 1911 September 25
Blank Application Form, 1911 August 8
Blank application for admittance to JCRS. The front part is blank, and the backside reads Anna Rosenberg was amitted to the sanatorium on October 26, 1911, and left on December 22, 1911.
Boscoe family, 2021
Daniel Goldberg's Application for Admittance to JCRS, 1911 August 1
Daniel Goldberg's handwritten application for admittance to JCRS. Includes information such as age (26), place of birth (Russia), and occupation (tailor). He was single and his nearest relative was his brother in St. Louis. On the backside it reads he was admitted on February 19, 1912, and discharged on February 19, 1913.