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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 12 Collections and/or Records:

Adolph Linn's Application for Admission to JCRS, 1910 August 8-1911 October 14

 Item
Identifier: B002.01.0103.0032.00001
Overview JCRS Application filled out by hand in ink for Adolph Linn. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Adolph Linn. At the bottom of the page is a section entitled "Recommendation," which is left blank. The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August 11, 1910 and found Linn to be suffering from incipient tuberculosis. The report of...

Benj. Saritsky's Application for Admission to JCRS, 1910 August 10-1911 May 8

 Item
Identifier: B002.01.0103.0033.00001
Overview JCRS Application filled out by hand in ink for Benj. Saritsky. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and includes a signature in Yiddish. At the bottom of the page is a section entitled "Recommendation," which is left blank except for a note that reads "Letter from H. Masliansky." The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August...

Hyman Gumple's Application for Admittance to JCRS, 1910 July 11-1910 August 6

 Item
Identifier: B002.01.0103.0011.00001
Overview Application for admission to JCRS filled out by hand in ink for Hyman Gumple. Information on the form includes his age, birth place, occupation, residence, previous residence, marital status, previous hospital stays, nearest relatives, and signed by Hyman Gumple. At the bottom of the page, the section "Recommendation," is left blank. The back of the form has section entitled "Report of Medical Examiner," which states that the examination took place July 12th, 1910, found Hyman Gumple suffered...

Hyman Novack's Application for Admittance to JCRS, 1910 July 25-1911 May 2

 Item
Identifier: B002.01.0103.0018.00003
Overview Application for admission to JCRS filled out by hand in ink for Hyman Novack. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Hyman Novack. At the bottom of the page, the section "Recommendation," is left blank. The back of the form has section entitled "Report of Medical Examiner," which states that the examination took place July 26, 1910 and found Novack to be suffering from incipient pulmonary...

Isaac Smith's Application for Admittance to JCRS, 1910 August 1-1911 January 18

 Item
Identifier: B002.01.0103.0023.00001
Overview Application for admission to JCRS filled out by hand in ink for Isaac Smith. Information on the form includes his age, birth place, occupation, residence, marital status, previous hospital stays, nearest relatives, and is signed in black ink. Signature reads "Isaac Smith (illegible)... cannot write English or Yiddish." At the bottom of the page, the section "Recommendation," is left blank. The back of the form has section entitled "Report of Medical Examiner," which states that the examination...

Jacob Silverstein's Application for Admittance to JCRS, 1910 August 3-1910 December 21

 Item
Identifier: B002.01.0103.0025.00001
Overview JCRS Application filled out by hand in ink for Jacob Silverstein. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Jacob Silverstein. At the bottom of the page is a section entitled "Recommendation," which is left blank. The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August 8th, 1910 and found Silverstein to be an incipient case...

Jake Finkelstein's Application for Admittance to JCRS, 1910 July 8-1911 August 17

 Item
Identifier: B002.01.0103.0008.00001
Overview JCRS application filled out by hand in ink for Jake Finkelstein. Information on the form includes his age, birth place, occupation, marital status, previous hospital stays, nearest relatives, and signed by Joseph Greenfield. At the bottom of the page, under "Recommendation" are two names both of which are illegible. The back of a form, "Report of Medical Examiner" informs that the examination took place on July 9, 1910 and reports that the patient suffers from advanced stage of tuberculosis and...

Joseph Klein's Application for Admittance to JCRS, 1910 August 2-1910 October 17

 Item
Identifier: B002.01.0103.0024.00001
Overview JCRS Application filled out by hand in ink for Joseph Klein. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, previous hospital stays and signed by Joseph Klein. At the bottom of the page is a section entitled "Recommendation," which is left blank except for a note in pen on the left side that reads "Has no friends in city total stranger." The back of the form has a section called "Report of Medical Examiner" which...

Louis Bama's Application for Admittance to JCRS, 1910 August 10-1911 May 1

 Item
Identifier: B002.01.0103.0034.00001
Overview JCRS application filled out by hand in ink for Louis Bama. Information on the form includes his age, birth place, occupation, marital status, membership to beneficial societies or lodges, nearest relatives, and is signed by Louis Bama. At the bottom of the page is a section titled "Recommendation," which is left blank. The back of a form, "Report of Medical Examiner" informs that the examination took place on August 10, 1910 and reports that the patient suffers from incipient stage of...

Louis Levitt's Application for Admittance to JCRS, 1910 August 8-1911 January 24

 Item
Identifier: B002.01.0103.0028.00001
Overview JCRS Application filled out by hand in ink for Louis Levitt. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Louis Levitt. At the bottom of the page is a section entitled "Recommendation," which is left blank. The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August 6th 1910 and found Levitt to suffer from incipient pulmonary tuberculosis. Section...