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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:

Sam Robertz's Application for Admission to JCRS, 1909 May 28

 Item
Identifier: B002.01.0102.0111.00001
Overview Application form of Sam Robertz for admission as a patient to the Jewish Consumptives' Relief Society. He was age 32 at the time of the application. He was born in Russia and emigrated to the United States in 1904. He lived in Brooklyn, New York when he contracted tuberculosis. He had been sick for four years upon arrival to Denver, Colorado. The verso of the application states he was suffering from the second stage of tuberculosis. He was admitted on June 8, 1909 and was discharged on August...

Sam Robertz's Application for Admission to JCRS, 1910 April 6

 Item
Identifier: B002.01.0102.0111.00003
Overview Application form of Sam Robertz for admission as a patient to the Jewish Consumptives' Relief Society. He was age 34 at the time of the application. He was born in Russia and emigrated to the United States in 1904. He lived in Brooklyn, New York when he contracted tuberculosis. He had been sick for five and a half years upon arrival to Denver, Colorado. He was married and had four children. The verso of the application exhibits a red stamp that says "EMERGENCY" and the application states he was...