Skip to main content

Application forms

 Subject
Subject Source: Art & Architecture Thesaurus
Scope Note: Forms used by persons requesting assistance, authorization, employment, admission, or other action.

Found in 68 Collections and/or Records:

Mary Leitman's Application for Admission to JCRS, 1910 August 30

 Item
Identifier: B002.01.0104.0149.00019
Abstract Application form of Mary Leitman for admission as a patient to the Jewish Consumptives' Relief Society. She was age 36 at the time of the application. She was born in Russia and immigrated to the United States in 1900. She lived in New York City when she contracted tuberculosis. She had been sick for seven months upon her arrival to Denver, Colorado. She was married and had five children. Her occupation states she worked as a housewife. The verso of the application states she was admitted on...
Dates: 1910 August 30
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1499 and #1565 Mary Leitman

Max Bieler's Application for Admittance to JCRS, 1906 November 9

 Item
Identifier: B002.01.0104.0134.00001
Abstract

Max Bieler's handwritten application for admittance to JCRS. Includes information such as age (22), place of birth (Austria), and occupation (plumber). He was single and his nearest relative was his father in N.Y.C. On the backside it reads he was admitted as an emergency case on November 9, 1906, and left on November 13, 1906.

Dates: 1906 November 9
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1934 #1654 #776 and #359 Max Bieler

Max Bieler's Fourth Application for Admittance to JCRS, 1911 August 14

 Item
Identifier: B002.01.0104.0134.00004
Abstract

Max Bieler's fourth handwritten application for admittance to JCRS. Includes information such as age (28), place of birth (Austria), and occupation (plumber). He was single and his nearest relatives were his mother and brother-in-law in N.Y.C, and a friend in Denver. On the backside it reads he was admitted on August 5, 1911, and left on April 17, 1912.

Dates: 1911 August 14
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1934 #1654 #776 and #359 Max Bieler

Max Bieler's Second Application for Admittance to JCRS, 1908 May 12

 Item
Identifier: B002.01.0104.0134.00002
Abstract

Max Bieler's second handwritten application for admittance to JCRS. Includes information such as age (25), place of birth (Austria), and occupation (plumber). He was single and his nearest relative was his mother in N.Y.C. On the backside it reads he was admitted as an emergency case on May 12, 1908, and left on May 29, 1908.

Dates: 1908 May 12
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1934 #1654 #776 and #359 Max Bieler

Max Bieler's Third Application for Admittance to JCRS, 1910 November 17

 Item
Identifier: B002.01.0104.0134.00003
Abstract

Max Bieler's third handwritten application for admittance to JCRS. Includes information such as age (27), place of birth (Austria), and occupation (plumber). He was single and his nearest relative was his mother in N.Y.C. On the backside it reads he was admitted on February 21, 1911, and left on May 21, 1911.

Dates: 1910 November 17
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1934 #1654 #776 and #359 Max Bieler

Max Ferstendig's Application for Admission, 1911 October 13

 Item
Identifier: B002.01.0104.0168.00001
Abstract Application form of Max Ferstendig for admission as a patient to the Jewish Consumptives' Relief Society. He was age 33 at the time of the application. He was born in Austria and immigrated to the United States in 1890. He lived in New York City when he contracted tuberculosis. He had been sick for one year upon his arrival to Denver, Colorado. He was married and had two children. His occupation states he worked as a Tailor. He belonged to the Children Jacket Makers Union, Local 10 in New...
Dates: 1911 October 13
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1986 Max Ferstendig

Max Lowenstein's Registration of Employment, 1946 March 19

 Item
Identifier: B333.05.0001.0005.00009
Abstract

Registraion form certifying Max Lowenstein's employment stamped by the City of Berlin Mayoral office. Form lists Max's birth date, address, that he was certified by his employer and dated March 19, 1946.

Dates: 1946 March 19
Found in: Special Collections and Archives / B333, Lowenstein Family Papers and Art / Post War Berlin and Social Democratic Party / Box 1 / Post War Berlin and Social Democratic Party

Max Schaeffer's Application for Admission to JCRS, 1911 October 10

 Item
Identifier: B002.01.0104.0171.00001
Abstract Application form of Max Schaeffer for admission as a patient to the Jewish Consumptives' Relief Society. He was age 29 at the time of the application. He was born in Rohatyn and immigrated to the United States in 1898. He lived in Long Island when he contracted tuberculosis. He had been sick for ten months upon his arrival to Denver, Colorado. He was married and had one child. His occupation states he worked as a waiter. He was in Tupper Lake Sanatorium in New York City before applying for...
Dates: 1911 October 10
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1989 and #47 Max Schaeffer

Max Schaeffer's Application for Admission to JCRS, 1911 October 16

 Item
Identifier: B002.01.0104.0171.00005
Abstract Application form of Max Schaeffer for admission as a patient to the Jewish Consumptives' Relief Society. He was age 29 at the time of the application. He was born in Austria and immigrated to the United States in 1897. He lived in Long Island, New York when he contracted tuberculosis. He had been sick for ten months upon his arrival to Denver, Colorado. He was married and had one child. His occupation states he worked as a waiter. He was in Tupper Lake Sanatorium in New York City before...
Dates: 1911 October 16
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1989 and #47 Max Schaeffer

Max Stashower's Application for Admission to JCRS, 1910 September 14

 Item
Identifier: B002.01.0104.0156.00001
Abstract Application form of Max Stashower for admission as a patient to the Jewish Consumptives' Relief Society. He was age 38 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...
Dates: 1910 September 14
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1967 #1585 and #1783 Max Stashower

Staff Interface | Visit ArchivesSpace.org | v3.3.1 | Send Feedback or Report a Problem