Subject Source: Art & Architecture ThesaurusScope Note: Forms used by persons requesting assistance, authorization, employment, admission, or other action.
Found in 2 Collections and/or Records:
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....
Overview Application form of Nathan Cohen 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 immigrated to the United States in 1904. He lived in Chicago, Illinois when he contracted tuberculosis. He had been sick for 4 years upon arrival to Denver, Colorado. He also worked as a fruit peddler. He was in the National Jewish Hospital in 1907 before applying for JCRS. The verso of the application states he was...