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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 4 Collections and/or Records:

Application for Sponsorship to JCRS, 1909 May 24

 Item
Identifier: B002.01.0102.0064.00003
Overview Handwritten application for sponsorship with JCRS New York letterhead. "It reads Name: Michael Leckstein, Address: 276 Monroe St. N.Y. City, Age: 26 Years, Occupation: Taylor, Married: Yes, Nativity: Russia, Duration of Disease: 18 Months, Ever been to hospital or sanatorium: No, Member of Lodge or Society: No."
Dates: 1909 May 24

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...
Dates: 1910 August 10-1911 May 8

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...
Dates: 1910 July 11-1910 August 6

Louis Simmons's Application for Admittance to JCRS, 1910 July 11-1911 May 30

 Item
Identifier: B002.01.0103.0010.00001
Overview JCRS application filled out by hand in ink for Louis Simmons. Information on the form includes his age, birth place, previous place of residence, occupation, marital status, nearest relatives, and signed by Louis Simmons. At the bottom of the page, "Recommendation" section is left blank. The back of a form has a section called "Report of Medical Examiner" which states that the exam took place on July 12 1910 and found the patient to be suffering from Advanced Tuberculosis and signed by Dr. M.J....
Dates: 1910 July 11-1911 May 30