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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 2 Collections and/or Records:

Duplicate Application for Admittance to JCRS, 1911 March 3

 Item
Identifier: B002.01.0103.0166.00002
Overview Handwritten application from Hyman Keller for admittance to JCRS. This is a duplicate of the original application as noted on the front page. Application contains information such as: age (28); occupation (printer); marital status (single); and place of birth (Russia). Backside of application indicates Keller has pulmonary tuberculosis stage II-III and it is in both lungs. Admitted to JCRS October 16, 1911 and discharged April 14, 1912.

Hyman Keller's Application for Admittance to JCRS, 1911 March 3

 Item
Identifier: B002.01.0103.0166.00001
Overview Handwritten application from Hyman Keller for admittance to JCRS. Application contains information such as: age (28); occupation (printer); marital status (single); and place of birth (Russia). Backside of application indicates Keller has pulmonary tuberculosis stage II-III and it is in both lungs. Admitted to JCRS October 16, 1911 and discharged April 14, 1912 (from duplicate application form in file).