Application forms
Subject
Subject Source: Art & Architecture Thesaurus
Scope Note: Forms used by persons requesting assistance, authorization, employment, admission, or other action.
Found in 3 Collections and/or Records:
Letter from C.D. Spivak M. Leitman, 1910 July 1
Item
Identifier: B002.01.0104.0149.00004
Abstract
Letter from C.D. Spivak to Mary Leitman. Spivak tells Mary that JCRS has not received her application for admission to the sanatorium. Spivak also tells Leitman that he understands Dr. Charles requested Leitman to see Dr. Hillkowitz for an examination. Spivak asks Leitman to attend to the matter as soon as she can because JCRS’ waitlist will only increase and the wait will be more delayed.
Dates:
1910 July 1
Max Stashower's Application for Admission to JCRS, 1911 April 2
Item
Identifier: B002.01.0104.0156.00003
Abstract
Application form of Max Stashower for admission as a patient to the Jewish Consumptives' Relief Society. He was age 39 at the time of the application. He was born in Austria and immigrated to the United States in 1888. He lived in Cleveland, Ohio when he contracted tuberculosis. He had been sick for ten months upon his arrival to Denver, Colorado. He was married and had five children. His occupation states he worked as a tailor. The verso of the application states he was admitted on April 2,...
Dates:
1911 April 2
Max Zenker's Application for Admittance to JCRS, 1906 March 28
Item
Identifier: B002.01.0097.0128.00004
Abstract
Application for admittance to JCRS filled out by hand in ink for Max Zenker. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Max Zenker. Under "Recommendation" are two names which read Herman Steiner and Morris E. Brenner. The back of the form has section entitled "Report of Medical Advisory Board," which is blank. The middle section of the back is a form filled out by hand in ink. It reads "No....
Dates:
1906 March 28