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Application forms

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

Found in 18 Collections and/or Records:

A. Tarashinsky's Application for Admittance to JCRS, 1908 November 07

 Item
Identifier: B002.01.0100.0093.00001
Overview JCRS Application for Admittance filled out in ink for Patient #956 A. Tarashinsky "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "Nov 7 1908" [sic]. The application includes patient's name, sex, age, occupation, residential information, medical information, marital status, number and ages of children, and nearest relatives or friends; "Wife - Rebecca 205 E. 7th St. New York, Sister- Mrs. M. Kanevsky 330 Winton St. Philadelphia Pa" and the...

Aaron London's Application for Admittance to JCRS, 1908 November 21

 Item
Identifier: B002.01.0100.0097.00001
Overview JCRS Application for Admittance filled out in ink for Patient #962 A. London "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "Nov 21, 1908" [sic]. The application includes patient's name, age, place of birth, citizenship, occupation, residential information, medical information, marital status, number and ages of children [none], and nearest relatives or friends; "C. N. Meltsner 43 W. 117th St NY brother in law [and] K. London 266 Madison St....

Abraham Finberg's Application for Admittance to JCRS, 1908 November 20

 Item
Identifier: B002.01.0100.0102.00001
Overview JCRS Application for Admittance filled out in ink for Patient #970 Abraham Finberg "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "November 20th 1908" [sic]. The application includes patient's name, age, place of birth, citizenship, occupation, residential information, medical information, marital status, number and ages of children, and nearest relatives or friends; "Bertha Finberg (Mother) 10 Fayston St Roxbury Mass. L Goldstein...

Alec [Alex] Nasborg's Application for Admittance to JCRS, 1908 November 16

 Item
Identifier: B002.01.0100.0100.00001
Overview JCRS Application for Admittance filled out in ink for Patient #967 A. Nasborg "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "November 16th 1908" [sic]. The application includes patient's name, age, place of birth, citizenship, occupation, residential information, medical information, marital status, number and ages of children, and nearest relatives or friends; "He claims to have neither relatives nor friends former employer, Mr. Meyer Horwitz...

Bennie Weinstein's Application for Admittance to JCRS, 1908 November 30

 Item
Identifier: B002.01.0100.0106.00001
Overview Application for admittance to the JCRS Sanatorium filled out by hand in ink for Bennie Weinstein. Information on the front of the form includes his age, birth place, citizenship, occupation, recent resident information, medical information, marital status, and nearest relatives or friends "Rachel Weinstein (sister) Elizabeth PA Oscar Weinstein (brother)" [sic]. The form is signed Bennie Weinstein Address 1471 Knox Court [Denver, CO], followed by section headed RECOMMENDATION, which was left...

Eugene H. Kass's Application for Admittance to JCRS , 1910 July 22-1911 March 23

 Item
Identifier: B002.01.0103.0014.00001
Overview Application for admittance to JCRS filled out by hand in ink for Eugene H. Kass. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and membership to beneficial societies and signed by E.H. Kass. At the bottom of the page, the section "Recommendation," is left blank. The back of the form has section entitled "Report of Medical Examiner," filled out by hand in ink and signed by Hillkowitz and states that the examination took place in...

Gertrude Kaplan's Application for Admittance to JCRS, 1908 February 3

 Item
Identifier: B002.01.0101.0018.00002
Overview Application for admittance to JCRS filled out by hand in ink for Gertrude Kaplan. Information on the form includes her age, birthplace, occupation, residence, marital status, nearest relatives and is signed by Gertrude Kaplan. At the bottom of the page, is a section entitled "Recommendation," which is left blank. The back of the form has section entitled "Report of Medical Examiner," which states that the examination took place on February 4 1909 and found the patient to be suffering from Stage...

H. Schwartz's Application for Admittance to JCRS, 1908 November 03

 Item
Identifier: B002.01.0100.0092.00001
Overview JCRS Application for Admittance filled out in ink for Patient #953 H. Schwartz "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "Nov 3 1908" [sic]. The application includes patient's name, sex, age, occupation, residential information, medical information, marital status, number and ages of children, and nearest relatives or friends; "Wife Sophie Schwartz 302 Lorimer St. Bklyn." and the application is signed Harry Schwartz [sic]. The bottom third...

I. Diamondstein's Application for Admittance to JCRS, 1908 October 22

 Item
Identifier: B002.01.0100.0089.00001
Overview JCRS application for admittance filled out in ink for Patient #947 I. Diamondstein "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado...Received October 22 1908" [sic]. The application includes patient's name, sex, age, occupation, residential information, medical information, marital status [single], Beneficial Societies: "Nieziner Lodge 81 O.K.O.J. B Rabinowitz Sec'y 564 W 13 St. Chicago Ill.," and nearest relatives or friends: "Uncle Harry Diamondstein...

Isaac Stoller's 2nd Application for Admittance to JCRS, 1908 November 07

 Item
Identifier: B002.01.0100.0095.00001
Overview The Second JCRS Application for Admittance filled out in ink for Patient #958 I. Stoller "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "Nov 7, 1908" [sic]. The application includes patient's name, sex, age, place of birth, citizenship, occupation, residential information, medical information, marital status, number and ages of children, and nearest relatives or friends; "Wife - Sophie Stoller 490 Newdover Ave. Bronx...Cousin M. Philips 8 No....